IndividualActive
Amanda Jackson, RN
NPI 1285457770 · Emergency Registered Nurse · Ellinwood, KS
Provider details
- NPI number
- 1285457770
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 13-132083-062 (KS)
Specialties & taxonomies
Nursing Service Providers
Practice location
300 N Park Ave
Ellinwood, KS 67526-1452
Phone: (620) 566-1730
Fax: (620) 564-2105
Approximate (ZIP-level) locationGet directions
Mailing address
300 N Park Ave
Ellinwood, KS 67526-1452
Registry dates
- Enumerated
- 2024-11-04
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.