Individual
JAMI VINEYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W 8TH ST, COFFEYVILLE, KS 67337-4109
(888) 777-9170
Mailing address
1701 S BROADWAY ST, PITTSBURG, KS 66762-7500
(620) 231-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81262
KS
Other
Enumeration date
07/28/2020
Last updated
10/13/2022
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