Individual
JESSICA LOUISE NIVENS
Active
Individual
JESSICA LOUISE NIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
13-108962-041
KS
163WX1100X
Ophthalmic Registered Nurse
Primary
13-108962-041
KS
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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