BRENDA LEE JACKSON

LANSING, KS
NPI1205225349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KS  76655)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MO  2015000862)
Enumeration Date2015-01-13
Last Update Date2015-01-13
Business Address
-- BRENDA LEE JACKSON APRN
757 W EISENHOWER RD
LANSING, KS 66043-2215
Phone number: 913-787-3063
Mailing Address
-- BRENDA LEE JACKSON APRN
7318 BEVERLY ST
OVERLAND PARK, KS 66204-2138
Phone number: