# JESSIE L KRUEGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437668852
- **Gender:** F
- **Credential:** RN FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 105000 | KS | — |
| 163WG0000X | General Practice Registered Nurse | 2015031281 | MO | — |
| 363L00000X | Nurse Practitioner | 2017033616 | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 2017033616 | MO | — |
| 363LF0000X | Family Nurse Practitioner | 53-77901 | KS | — |

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 01/04/2022
