Healthcare Provider Details

I. General information

NPI: 1528062262
Provider Name (Legal Business Name): JEANETTE WEISER ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JEANETTE MARLENE HANCOCK ARNP-C

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S VERMONT AVE
RANSOM KS
67572-9525
US

IV. Provider business mailing address

210 S VERMONT AVE
RANSOM KS
67572-9525
US

V. Phone/Fax

Practice location:
  • Phone: 785-731-2295
  • Fax: 785-731-2882
Mailing address:
  • Phone: 785-731-2295
  • Fax: 785-731-2882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45120
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number45120
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0002753
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: