Kirk, Jessica Dawn

Kirk, Jessica Dawn is an individual health care provider with primary practice located at 1801 S Broadway St. , Pittsburg KS 66762. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kirk, Jessica Dawn can be contacted via phone (888) 777-9170.

Contact Information

Primary practice address
1801 S Broadway St. Pittsburg KS 66762
Phone: (888) 777-9170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2002026638 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 77419 Kansas

Profile Details

NPI number 1235262924
LBN Legal business name Kirk, Jessica Dawn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235262924 NPPES
Missouri MEDICAID 1235262924
Missouri MEDICAID 426300208
Missouri Other P00419085

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