Individual
JESSICA LEIGH DEBELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
2740 W 3RD AVE, EL DORADO, KS 67042-3047
(316) 312-3661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
131643
KS
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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