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NPI Code Detail

MEDICARE: JESSICA CAIRO

MEDICARE: JESSICA CAIRO
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
1363L00000XNurse Practitioner79283KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679186209
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA CAIRO
Provider Business Mailing Address
First Line : 1001 S OHIO ST
Second Line :
City : SALINA
State : KS
Zip : 67401-5364
Country : US
Telephone Number : 785-827-6453
Fax Number : 785-823-1255
Provider Business Practice Location Address
First Line : 2265 S 9TH ST
Second Line :
City : SALINA
State : KS
Zip : 67401-7308
Country : US
Telephone Number : 785-452-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 09/30/2021

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Directions to “ JESSICA CAIRO ” Practice Location

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