Individual
MRS. JESSICA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
512 N 7TH ST, GARDEN CITY, KS 67846-5525
(620) 301-0304
(833) 629-0833
Mailing address
512 N 7TH ST, GARDEN CITY, KS 67846-5525
(620) 301-0304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81880
KS
Other
Enumeration date
01/27/2023
Last updated
03/11/2025
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