Individual
MS. JODY S TOERBER-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP PMHNP
Contact information
Practice address
904 5TH STREET, PROVIDER ENROLLMENT, WAMEGO, KS 66547-4619
(785) 456-9773
(785) 456-1432
Mailing address
904 5TH STREET, PROVIDER ENROLLMENT, WAMEGO, KS 66547
(785) 456-9773
(785) 456-1432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
45326
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
45326
KS
Other
Enumeration date
10/16/2006
Last updated
07/18/2024
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