Healthcare Provider Details

I. General information

NPI: 1942505334
Provider Name (Legal Business Name): VALERIE SUE JENEK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 12/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18351 W 119TH ST
OLATHE KS
66061-8005
US

IV. Provider business mailing address

22650 S FRANKLIN ST
SPRING HILL KS
66083-8360
US

V. Phone/Fax

Practice location:
  • Phone: 620-481-6751
  • Fax:
Mailing address:
  • Phone: 620-481-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95870
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number75310
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2011004373
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: