Individual
DARINE JAMALEDDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3535 N WEBB RD, WICHITA, KS 67226-8127
(316) 686-5300
(316) 651-2660
Mailing address
3535 N WEBB RD, WICHITA, KS 67226-8127
(316) 686-5300
(316) 651-2660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76479
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA3651027
MEDICARE
KS
05
—
PENDING
—
KS
Enumeration date
09/08/2014
Last updated
01/14/2019
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