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Individual

MS. JENNIFER LYNN DIEKMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN

Contact information

Practice address
604 N WASHINGTON ST, COUNCIL GROVE, KS 66846-1422
(620) 767-5126
(620) 767-6910
Mailing address
600 N WASHINGTON ST, COUNCIL GROVE, KS 66846-1499
(620) 767-6811
(620) 767-5611

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1493418051
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
93418
KS

Other

Enumeration date
03/12/2007
Last updated
10/02/2019
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