Individual
JACOB LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3223 N WEBB RD STE 1, WICHITA, KS 67226-8176
(316) 609-2600
(316) 609-2800
Mailing address
3223 N WEBB RD STE 1, WICHITA, KS 67226-8176
(316) 609-2600
(316) 609-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
79786
KS
363LF0000X
Family Nurse Practitioner
R0109553
OK
Other
Enumeration date
03/19/2020
Last updated
01/30/2026
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