Individual
JENNIFER DIANE PEKAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
400 S SANTA FE AVE, SALINA, KS 67401
(785) 452-6113
(785) 452-6119
Mailing address
400 S SANTA FE AVE, SALINA, KS 67401
(785) 452-6113
(785) 452-6119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5344785
KS
363LF0000X
Family Nurse Practitioner
165406
CO
363LF0000X
Family Nurse Practitioner
Primary
5344785
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100363870F
—
KS
Enumeration date
02/13/2006
Last updated
03/27/2020
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