Individual
JACQUELINE MARIE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7151
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7151
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
53-76752
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914647400
—
MN
Enumeration date
05/16/2006
Last updated
10/09/2023
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