Individual
MEGAN J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
2049 S PARKRIDGE ST, WICHITA, KS 67209-3282
(316) 213-5771
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
13-112440-102
KS
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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