Individual provider · Type 1 NPI
Jared Liebl, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Wichita, KS
NPI number
1720601982
Active
Practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 13-103898-102 (KS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720601982
Jared Liebl, PMHNP's National Provider Identifier is 1720601982, issued on May 22, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wichita, KS. The record was last updated on Jan 3, 2022.