Provider Demographics
NPI:1255849261
Name:KLAASSEN, JENIFER N (MSN, APRN-FNP)
Entity Type:Individual
Prefix:MRS
First Name:JENIFER
Middle Name:N
Last Name:KLAASSEN
Suffix:
Gender:F
Credentials:MSN, APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WILLOW RDG
Mailing Address - Street 2:
Mailing Address - City:WHITEWATER
Mailing Address - State:KS
Mailing Address - Zip Code:67154-9049
Mailing Address - Country:US
Mailing Address - Phone:316-200-1174
Mailing Address - Fax:
Practice Address - Street 1:6837 W 37TH ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-9355
Practice Address - Country:US
Practice Address - Phone:316-773-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-78005-121363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily