| Lisa Marie Knifong, FNP-C | |
|
211 Nw Executive Way Ste E, Lees Summit, MO 64063-1846 | |
| (816) 509-3192 | |
| Not Available |
| Full Name | Lisa Marie Knifong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 211 Nw Executive Way Ste E, Lees Summit, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306676127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2024026245 (Missouri) | Primary |
| Entity Name | Renova Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447741681 PECOS PAC ID: 3577811736 Enrollment ID: O20180803000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Knifong, FNP-C 1816 Ne Sparta Dr, Blue Springs, MO 64029-7724 Ph: (660) 287-7753 | Lisa Marie Knifong, FNP-C 211 Nw Executive Way Ste E, Lees Summit, MO 64063-1846 Ph: (816) 509-3192 |
Sherry L Broadhurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 | |
Rachael Goodman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Executive Way Ste E, Lees Summit, MO 64063 Phone: 816-434-5205 Fax: 816-434-5207 | |
Ms. Brenda Sue Salazar, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3066 Sw Grandstand Cir, Lees Summit, MO 64081 Phone: 913-215-5008 Fax: 816-447-3960 | |
Maddison Pearl Selley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Ne Saint Lukes Blvd Ste 530, Lees Summit, MO 64086 Phone: 816-554-3838 Fax: 816-554-1634 | |
Whitney Marie Belshe, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Ne Mulberry St Ste 202, Lees Summit, MO 64086 Phone: 816-251-5710 Fax: 816-251-5711 | |
Mr. Thomas Christian Sims, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 | |
Brittany Ann Shingleton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 Se Briarcroft St, Lees Summit, MO 64063 Phone: 816-872-8110 |