Individual
MS. JENNIFER MARLENE DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
68455
NC
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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