| NPI | 1780426262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A WILSON Family Nurse Practitioner 620-249-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-01-21 |