Individual
JENNIFER DAWN EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
305 W 15TH ST STE 103, LIBERAL, KS 67901-2455
(620) 236-3125
Mailing address
202 W LA MESA DR, DODGE CITY, KS 67801-2838
(620) 225-6821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-45719-111
KS
Other
Enumeration date
05/17/2006
Last updated
02/19/2025
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