CAROL DIANE JACKSON

LANSING, KS
NPI1467420083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-45399-121)
Enumeration Date2006-03-09
Last Update Date2016-03-24
Business Address
-- CAROL DIANE JACKSON ARNP
712 FIRST TERRACE #200
LANSING, KS 66043-1735
Phone number: 913-727-6000
Mailing Address
-- CAROL DIANE JACKSON ARNP
8929 PARALLEL PARKWAY PMG-PHYSICIAN CREDENTIALING ATTN KATHLEEN
KANSAS CITY, KS 66112-1689
Phone number: 913-596-3893
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