Individual
JETTIE D LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2090 S OHIO ST, SALINA, KS 67401-6702
(785) 825-8221
(785) 452-7530
Mailing address
2090 S OHIO ST, SALINA, KS 67401-6702
(785) 825-8221
(785) 452-7530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79631
KS
363LF0000X
Family Nurse Practitioner
53-79631-101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004725230001
—
KS
Enumeration date
08/21/2020
Last updated
09/16/2022
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