Individual
MRS. JENNIFER ANN CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
112 ROSS BLVD. SUITE B., DODGE CITY, KS 67801
(620) 371-6900
(620) 371-6364
Mailing address
3515 BROADWAY AVE., GREAT BEND, KS 67530
(620) 786-6139
(620) 786-6298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5376495
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215337548
NPI
KS
01
—
5584118335
STATE APRN LICENSE
KS
Enumeration date
08/22/2014
Last updated
03/07/2023
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