Individual
JESSICA BANWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 272-2222
Mailing address
601 HOWERTON PL, GARDEN CITY, KS 67846-4257
(620) 521-4228
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
80090
KS
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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