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Individual

JEFFREY M WADDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP, FNP-C

Contact information

Practice address
107 S MAIN ST, OTTAWA, KS 66067-2327
(913) 648-2266
(877) 207-1146
Mailing address
405 S CLAIRBORNE RD STE 2, OLATHE, KS 66062-1774
(913) 730-3674
(913) 768-1944

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
75481
KS
363L00000X
Nurse Practitioner
A132444
IA

Other

Enumeration date
09/05/2011
Last updated
03/31/2026
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