Individual
TASNEIM JESRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8451 E PAWNEE ST, WICHITA, KS 67207-5420
(316) 618-0035
(316) 633-4468
Mailing address
8451 E PAWNEE ST, WICHITA, KS 67207-5420
(316) 618-0035
(316) 633-4468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING
KS
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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