Individual
STEPHANIE L JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 4044, KANSAS CITY, KS 66160
(913) 588-1941
(913) 588-1943
Mailing address
2200 SW 6TH AVE, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44619
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500014143
RR MEDICARE
—
Enumeration date
02/01/2006
Last updated
01/14/2016
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