Provider Demographics
NPI:1619405602
Name:JASDANWALA, ANDREA CONSTANCE (FNP-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CONSTANCE
Last Name:JASDANWALA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:CONSTANCE
Other - Last Name:BINKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:7505 E 87TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64138-3917
Mailing Address - Country:US
Mailing Address - Phone:573-201-0356
Mailing Address - Fax:
Practice Address - Street 1:7505 E 87TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64138-3917
Practice Address - Country:US
Practice Address - Phone:573-201-0356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOF09161103363LF0000X
MO2016035602363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily