NPI 1225892797 · live from the CMS NPI Registry
Jessica Nicole Konrade, RN
Registered Nurse, General Practice in Dodge City, KS. National Provider Identifier 1225892797, active.
NPI record
| NPI | 1225892797 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 2201 Summerlon Cir, Dodge City, KS 67801 |
| Practice phone | 620-225-7146 |
| Enumerated | February 6, 2024 |
| Last updated | February 6, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 128217 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.