Individual
JAYNE MARIE GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-2880
Mailing address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-2880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
111460
NE
363LF0000X
Family Nurse Practitioner
Primary
75881
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110927012
MEDICARE PTAN
KS
05
—
201095140B
—
KS
Enumeration date
02/14/2013
Last updated
09/25/2015
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