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NPI Code Detail

MEDICARE: JODY BUCHANAN APRN

MEDICARE: JODY BUCHANAN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner53-82669-031KS

General Provider Information

NPI Number : 1295500833
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODY BUCHANAN APRN
Provider Business Mailing Address
First Line : 2716 W CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67203-4904
Country : US
Telephone Number : 316-660-7600
Fax Number :
Provider Business Practice Location Address
First Line : 2716 W CENTRAL AVE
Second Line :
City : WICHITA
State : KS
Zip : 67203-4904
Country : US
Telephone Number : 316-660-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2023
Last Update Date : 01/30/2026

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