Individual
JORDAN KRISTENE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
15345 W 134TH PLACE, SUITE 101, OLATHE, KS 66062
(913) 780-0030
Mailing address
6701 NW 158TH ST, EDMOND, OK 73013-6203
(785) 220-8786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80969
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2020
Last updated
05/13/2022
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