Individual
JAYNE TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
9100 PARK ST STE 100, LENEXA, KS 66215-3353
(877) 279-5960
(877) 384-3106
Mailing address
9100 PARK ST STE 100, LENEXA, KS 66215-3353
(877) 279-5960
(877) 384-3106
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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