Individual
LAVETA M JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
818 N CARRIAGE PKWY, WICHITA, KS 67208-4500
(316) 651-2216
(316) 651-2256
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
53-79420
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74920
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719063
MEDICARE
—
05
—
200608330A
—
KS
Enumeration date
06/05/2009
Last updated
10/16/2024
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