Healthcare Provider Details

I. General information

NPI: 1528527439
Provider Name (Legal Business Name): JENNIFER LYNN ERKER DNP, APRN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N GODDARD RD STE A
GODDARD KS
67052-8862
US

IV. Provider business mailing address

701 N GODDARD RD STE A PO BOX 212
GODDARD KS
67052-8862
US

V. Phone/Fax

Practice location:
  • Phone: 316-550-6055
  • Fax: 316-530-9355
Mailing address:
  • Phone: 316-550-6055
  • Fax: 316-530-9355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number78640
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number78640
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: