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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAYNE TEDDER, DNP, AGPCNP-BC

Active

JAYNE TEDDER, DNP, AGPCNP-BC is a Primary Care Nurse Practitioner healthcare provider located in LENEXA, Kansas. NPI 1891259875 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · LENEXA, KS

Registration Details

NPI Number
1891259875
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2019 (7.5860056271365 yrs)
Last Updated
Jan 14, 2022
Licenses
53-80127-071 (KS)
2021011085 (MO)
2013019630 (MO)
14124413071 (KS)
2021011085 (MO)

Practice Information

Address
9100 PARK ST STE 100
LENEXA, KS, 662153353
Browse KS providers · Browse ZIP 66215
Phone
8772795960
Fax
8773843106
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Registered Nurse
Additional Specialty
Registered Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.