NPI 1720795776 · live from the CMS NPI Registry
Jessica Lies, RN
Registered Nurse, General Practice in Colwich, KS. National Provider Identifier 1720795776, active.
NPI record
| NPI | 1720795776 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 5501 N 183rd St W, Colwich, KS 67030 |
| Practice phone | 316-208-5118 |
| Enumerated | October 31, 2022 |
| Last updated | October 31, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 13-122147-102 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.