Individual
JESSICA FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
937 S COOPER ST, WICHITA, KS 67207-3728
(316) 281-5730
Mailing address
937 S COOPER ST, WICHITA, KS 67207-3728
(316) 281-5730
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
53-85373-122
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
53-85373-122
KS
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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