Individual
JILLINA L FRAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2613 SOUTH SANTA FE, CHANUTE, KS 66720
(620) 820-5800
(620) 820-5821
Mailing address
PO BOX 736, PARSONS, KS 67357-0736
(620) 820-5800
(620) 820-5821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-101821-112
KS
363L00000X
Nurse Practitioner
Primary
53-75722-112
KS
363L00000X
Nurse Practitioner
TMP 145378
KS
Other
Enumeration date
06/11/2012
Last updated
08/30/2018
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