Individual
MRS. JAIMIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3801 S OLIVER ST, WICHITA, KS 67210-2112
(316) 526-3511
Mailing address
8500 N 103RD ST W, VALLEY CENTER, KS 67147-8125
(316) 807-1578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78865-082
KS
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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