NPI 1699431346 · live from the CMS NPI Registry
Jennifer Marie Love, APRN-BC
Nurse Practitioner, Family in Arkansas City, KS. National Provider Identifier 1699431346, active.
NPI record
| NPI | 1699431346 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 6401 Patterson Pkwy, Arkansas City, KS 67005 |
| Practice phone | 620-441-5771 |
| Mailing address | 1824 Booth St, Winfield, KS 67156 |
| Enumerated | November 16, 2021 |
| Last updated | June 2, 2025 |
| Sole proprietor | Yes |
| Other names | Jennifer Russom |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 13140674091 (KS) |
| Registered Nurse, General Practice | 163WG0000X | 13-140674091 (KS) |
| Nurse Practitioner, Family primary | 363LF0000X | 2021161664 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.