Jessica Loeck
Individual provider Active NPI Registered Nurse · Rose Hill, KS
NPI 1134826316 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1134826316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 104390 (KS)
- Practice address
- 221 Pine CRK
Rose Hill, KS 67133-8804 - Phone
- (316) 993-1518
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104390 | KS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 104390 | KS | Yes |
Addresses
Primary practice location
221 Pine CRK
Rose Hill, KS 67133-8804
Mailing address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone (316) 685-2221
Other providers in Rose Hill, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.