=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861122483
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL ANN JAMISON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2022
-----------------------------------------------------
Last Update Date | 04/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1902 S US HIGHWAY 59 STE 304
-----------------------------------------------------
City | PARSONS
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67357-4948
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 204-212-8556
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 818 N EMPORIA ST STE 403
-----------------------------------------------------
City | WICHITA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67214-3728
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 316-262-4467
-----------------------------------------------------
Fax | 316-613-4345
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | 13-89624-071
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 13-89624-071
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------