Healthcare Provider Details
I. General information
NPI: 1306245642
Provider Name (Legal Business Name): JESSICA R DALTON APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/21/2014
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3707 SW 6TH AVE
TOPEKA KS
66606-2084
US
IV. Provider business mailing address
3707 SW 6TH AVE
TOPEKA KS
66606-2084
US
V. Phone/Fax
- Phone: 785-270-4600
- Fax:
- Phone: 785-270-4600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 53-76442 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 76442 |
| License Number State | KS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: