IndividualActive
Jessica Lies, RN
NPI 1720795776 · General Practice Registered Nurse · Colwich, KS
Provider details
- NPI number
- 1720795776
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 13-122147-102 (KS)
Specialties & taxonomies
Nursing Service Providers
Practice location
5501 N 183rd St W
Colwich, KS 67030-9640
Phone: (316) 208-5118
Approximate (ZIP-level) locationGet directions
Mailing address
5501 N 183rd St W
Colwich, KS 67030-9640
Registry dates
- Enumerated
- 2022-10-31
- Last updated
- 2022-10-31
- Certified
- 2022-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.