Most Relevant Information
Provider Data
| NPI Number: | 1003513409 |
| Provider Name: | JESSICA RENEE CLASEN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 13-119853-071 |
Most Important Dates
| Enumeration Date: | 02/15/2023 |
| Last Updated: | 02/15/2023 |
Provider Practice Location
2927 E SENNETT ST
WICHITA
KS
672113851
Practice Location Phone/Fax
| Phone: | 3038295820 |
| Fax: |
Provider Mailing Location
2927 E SENNETT ST
WICHITA
KS
672113851
Provider Mailing Phone/Fax
| Phone: | 3038295820 |
| Fax: |