Jessica Lynn Provines in Wichita - Clinical
Jessica Lynn Provines - NPI 1710083183
Jessica Lynn Provines is a Clinical in Wichita, Kansas. Jessica Lynn Provines practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Lynn Provines is 1710083183. The last update date is 2007-07-08.
Jessica Lynn Provines's current location address is 7570 W 21st St N, Wichita, Kansas. You can contact this provider via phone number 3167296555 and fax number 3166344794. The mailing address for Jessica Lynn Provines is 7570 W 21st St N, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lynn Provines |
|---|---|
| Address | 7570 W 21st St N, Wichita, Kansas |
| Phone Number | 3167296555 |
| Fax Number | 3166344794 |
| Sole Proprietor | N |
| Credentials | TLMLP |
NPI Number Detail
| NPI Number | 1710083183 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7570 W 21st St N |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672051734 |
| Phone Number | 3167296555 |
| Fax Number | 3166344794 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 997 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Jessica Lynn Provines by the Centers for Medicare & Medicaid Services?
The Jessica Lynn Provines has been issued the NPI (National Provider Identifier) 1710083183 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jessica Lynn Provines?
The Jessica Lynn Provines is situated at 7570 W 21St St N, in the city of Wichita, state of KS, with the zip code 672051734.
What is Jessica Lynn Provines's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jessica Lynn Provines's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When was the Jessica Lynn Provines's 1710083183 issued?
The Jessica Lynn Provines's 1710083183 was issued on 2006-09-15.
When was the Jessica Lynn Provines's information last updated?
The Jessica Lynn Provines's information was last updated on 2007-07-08.