Individual
JENNIE NGUYEN TOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, IBCLC
Contact information
Practice address
120 W ROSS BLVD, DODGE CITY, KS 67801-2131
(620) 225-1605
(620) 227-2505
Mailing address
120 W ROSS BLVD, DODGE CITY, KS 67801-2131
(620) 225-1650
(620) 227-2505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135874
KS
163WL0100X
Lactation Consultant (Registered Nurse)
135874
KS
363L00000X
Nurse Practitioner
Primary
53-82832
KS
Other
Enumeration date
12/25/2021
Last updated
01/26/2024
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