Individual
JENNIFER EAGLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 W 16TH ST, EUREKA, KS 67045-1064
(620) 583-5274
(620) 583-5194
Mailing address
100 W 16TH ST, EUREKA, KS 67045-1064
(620) 583-5274
(620) 583-5194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77018
KS
Other
Enumeration date
11/12/2015
Last updated
04/14/2022
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