Individual
JAMIE SUE THIMESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 COMMODORE ST, PRATT, KS 67124-2903
(620) 672-7451
Mailing address
200 COMMODORE ST, PRATT, KS 67124-2903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78716
KS
363LF0000X
Family Nurse Practitioner
53-78716-062
KS
Other
Enumeration date
05/03/2019
Last updated
03/30/2022
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