Individual
CAROL ELAINE JESPERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4911 STATE AVE, KANSAS CITY, KS 66102-1749
(913) 287-8851
Mailing address
27 CIRCLE DR, PAOLA, KS 66071-1115
(785) 979-7002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-100453-122
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211880C
—
KS
05
—
100211880D
—
KS
Enumeration date
03/15/2011
Last updated
03/15/2011
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