Individual provider · Type 1 NPI

Constance Jacob, APRN

Nurse Practitioner · Wichita, KS

NPI number 1639729726 Active

Practice location

1919 N Amidon Ave Ste 130
Wichita, KS 67203-2118

Fax (316) 941-5075

Mailing address

271 W 3rd St N Ste 600
Wichita, KS 67202-1223

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X78963 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639729726

Constance Jacob, APRN's National Provider Identifier is 1639729726, issued on Sep 19, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wichita, KS. The record was last updated on Sep 19, 2019.