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Jodene R. Thach, CNP
Family Nurse Practitioner in Wichita, Kansas
NPI 1801877295

Jodene R. Thach is a Family Nurse Practitioner based in Wichita, KS and is specialized in Family. Jodene R. Thach practices in Wichita, KS and has the professional credentials of CNP. The NPI Number for Jodene R. Thach is 1801877295 and holds a License No. CNP00557 (Kansas).

The current practice location address for Jodene R. Thach is 7200 W 13Th St N, Wichita, KS and can be reached out via phone at 316-239-7357 and via fax at 316-295-2356. You can also correspond with Jodene R. Thach through the mailing address at 7200 W 13TH ST N, WICHITA, KS - 67212-2970 (mailing address contact number: 316-217-6367).

Location: 7200 W 13Th St N, Wichita, KS, 67212-2970
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Provider Profile Details
NPI Number
1801877295
Provider Name
Jodene R. Thach
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
7200 W 13Th St N, Wichita, KS, 67212-2970
Phone Number
316-239-7357
Fax Number
316-295-2356
Provider Enumeration Date
11/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L6477 05 NM
201091430A 05 KS
institution
Provider Business Practice Location Address Details
Address
7200 W 13Th St N
City
State
Zip
67212-2970
Phone Number
316-239-7357
Fax Number
316-295-2356
person
Provider Business Mailing Address Details
Address
7200 W 13Th St N
City
State
Zip
67212-2970
Phone Number
316-239-7357
Fax Number
316-295-2356
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
36827 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CNP00557 (New Mexico)
Definition
Definition to come...
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