Individual
JILLIAN AMANDA HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
347 S LAURA AVE, WICHITA, KS 67211-1518
(316) 686-7117
(316) 686-2679
Mailing address
347 S LAURA AVE, WICHITA, KS 67211-1518
(166) 867-1173
(316) 686-2679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
53-77622
KS
363LG0600X
Gerontology Nurse Practitioner
77622
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
77622
KS
363LP2300X
Primary Care Nurse Practitioner
77622
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201156760B
—
KS
Enumeration date
05/22/2017
Last updated
08/07/2024
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