Individual
JESSICA DAWN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1801 S BROADWAY ST., PITTSBURG, KS 66762
(888) 777-9170
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
77419
KS
363LF0000X
Family Nurse Practitioner
2002026638
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235262924
—
MO
05
—
426300208
—
MO
01
—
P00419085
RR MEDICARE
—
Enumeration date
03/13/2007
Last updated
06/06/2025
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