Provider Demographics
NPI:1629489448
Name:FERRICHER, JENNA
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:FERRICHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-1204
Mailing Address - Country:US
Mailing Address - Phone:316-251-0764
Mailing Address - Fax:316-974-3826
Practice Address - Street 1:231 N WEST ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-1204
Practice Address - Country:US
Practice Address - Phone:316-251-0764
Practice Address - Fax:316-974-3826
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5358235Z00000X
374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No374700000XNursing Service Related ProvidersTechnician