Provider Demographics
NPI:1942505334
Name:JENEK, VALERIE SUE (ARNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:SUE
Last Name:JENEK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22650 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:KS
Mailing Address - Zip Code:66083-8360
Mailing Address - Country:US
Mailing Address - Phone:620-481-6751
Mailing Address - Fax:
Practice Address - Street 1:18351 W 119TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-8005
Practice Address - Country:US
Practice Address - Phone:620-481-6751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS95870163W00000X
KS75310363LF0000X
MO2011004373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse