Individual provider · Type 1 NPI

Gina Marie Pack

Registered Nurse · Jetmore, KS

NPI number 1942155239 Active

Practice location

309 Main St
Jetmore, KS 67854-9200

Fax (620) 357-8846

Mailing address

3303 Cervantes Rd
Dodge City, KS 67801-7263

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X13-149855-092 (KS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1942155239

Gina Marie Pack's National Provider Identifier is 1942155239, issued on Mar 2, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jetmore, KS. The record was last updated on Mar 2, 2026.