Individual
MRS. JENNY L NIBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
310 E COLLEGE DR, COLBY, KS 67701-3716
(785) 462-6184
(785) 460-1490
Mailing address
310 E COLLEGE DR, COLBY, KS 67701-3716
(785) 462-6184
(785) 460-1490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44744
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100342210B
—
KS
01
—
44744
KANSAS LICENSE
KS
Enumeration date
07/05/2006
Last updated
02/27/2015
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