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General NPI Number Information
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NPI Number | 1780426262
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Entity Type | Organization
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Legal Business Name | HOMESTEAD HEALTH AND WELLNESS
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 324 W CENTRAL AVE STE G
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City | ANDOVER
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State | KS
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Zip | 67002-9694
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Country | US
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Telephone | 316-518-4284
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Fax | 316-462-0929
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Provider Business Mailing Address
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Address Line | 1111 N 159TH ST E
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City | WICHITA
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State | KS
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Zip | 67230-7538
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Country | US
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Telephone | 316-518-4284
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Fax | 316-462-0929
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | JENNIFER A WILSON
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Credential | APRN
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Telephone | 620-249-7282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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