Provider Demographics
NPI:1679336002
Name:BEARD, JENNIFER K (MSN, APRN, PMHNP)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:K
Last Name:BEARD
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:K
Other - Last Name:LLAMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:535 S EMPORIA AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-4534
Mailing Address - Country:US
Mailing Address - Phone:316-841-6861
Mailing Address - Fax:316-854-9673
Practice Address - Street 1:535 S EMPORIA AVE STE 103
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-4534
Practice Address - Country:US
Practice Address - Phone:316-841-6861
Practice Address - Fax:316-854-9673
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS82772363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health