Individual
MRS. JAMIE LYNNE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
8201 S MILLSAP DR, DERBY, KS 67037-7053
(316) 312-2408
(316) 312-2408
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
13-131482-031
KS
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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