Individual
JESSIE M NIEDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, FNP-BC
Contact information
Practice address
2305 CENTRAL AVE, DODGE CITY, KS 67801-6203
(620) 801-3320
(620) 225-8687
Mailing address
1906 HI ST, DODGE CITY, KS 67801-2333
(719) 371-2708
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0995013
CO
363LF0000X
Family Nurse Practitioner
Primary
53-83034-091
KS
363LP2300X
Primary Care Nurse Practitioner
R252784
MD
Other
Enumeration date
09/11/2019
Last updated
05/14/2024
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