Individual
JESSICA ELIZABETH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
216 N MERIDIAN RD STE 4, NEWTON, KS 67114-5119
(316) 300-3246
Mailing address
216 N MERIDIAN RD STE 4, NEWTON, KS 67114-5119
(316) 300-3246
(866) 659-1837
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-75032-011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200734460D
—
KS
Enumeration date
09/15/2009
Last updated
09/10/2024
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