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Individual

JAYNE TEDDER

Active
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Individual

JAYNE TEDDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGPCNP-BC

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14124413071
KS
163W00000X
Registered Nurse
2013019630
MO
363LA2200X
Adult Health Nurse Practitioner
2021011085
MO
363LA2200X
Adult Health Nurse Practitioner
53-80127-071
KS
363LP2300X
Primary Care Nurse Practitioner
2021011085
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
53-80127-071
KS

Other

Enumeration date
01/24/2019
Last updated
01/14/2022
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