Individual
NICHOLA ELENA JOUBERT-ROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12200 W 110TH ST, OVERLAND PARK, KS 66210-4045
(913) 574-2650
(913) 574-2769
Mailing address
11300 CORPORATE AVE, LENEXA, KS 66219-1374
(913) 574-2800
(913) 574-2336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
113352
KS
163W00000X
Registered Nurse
2009017318
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
77441
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881136794
—
MO
05
—
201145700A
—
KS
Enumeration date
11/09/2016
Last updated
12/11/2018
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