Individual
MRS. JENNIFER HERRIAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6000
Mailing address
24315 W 58TH PL, SHAWNEE, KS 66226-2214
(913) 433-6113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-81588-031
KS
Other
Enumeration date
11/02/2022
Last updated
02/23/2025
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