Individual
JASON RYAN CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-C
Contact information
Practice address
711 GENN DR, WAMEGO, KS 66547-1179
(785) 456-2295
Mailing address
711 GENN DR, WAMEGO, KS 66547-1179
(785) 456-6288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108703
KS
363LF0000X
Family Nurse Practitioner
Primary
53-80406
KS
Other
Enumeration date
06/30/2021
Last updated
09/14/2021
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