JENNIFER DAWN EBERSOLE ARNP NPI 1245283951

NPI Information

  • NPI: 1245283951
  • Provider Name: JENNIFER DAWN EBERSOLE, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 305 W 15TH ST STE 103
    LIBERAL, KS
    ZIP 67901
  • Phone: (620) 236-3125

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NPI Details

Jennifer Dawn Ebersole, ARNP is a family nurse practitioner in Liberal, KS with 21 years of experience. Jennifer Dawn Ebersole, ARNP NPI is 1245283951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

305 W 15TH ST STE 103
LIBERAL, KS
ZIP 67901-455
Phone: (620) 236-3125

The NPI 1245283951 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily53-45719-111KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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