MRS. JACQUE ELAINE EDIGER ARNPBC NPI 1285683599

NPI Information

NPI: 1285683599
Provider Name: MRS. JACQUE ELAINE EDIGER, ARNP,BC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
5500 E KELLOGG DR
BLDG 5- ROBERT J DOLE VA MEDICAL CENTER
WICHITA, KS
ZIP 67218
Phone: (316) 634-3058
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MRS. Jacque Elaine Ediger, ARNP,BC is a psychiatric/mental health and adult clinical nurse specialist in Wichita, KS. MRS. Jacque Elaine Ediger, ARNP,BC NPI is 1285683599. 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:

5500 E KELLOGG DR
BLDG 5- ROBERT J DOLE VA MEDICAL CENTER
WICHITA, KS
ZIP 67218-607
Phone: (316) 634-3058
Fax: (316) 634-3091

The enumeration date for this NPI number is 5/6/2006 and was last updated on 7/9/2007.

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
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	74824	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	161136	MEDICARE ID-TYPE UNSPECIFIED	KANSAS
2	5615865701	MEDICAID	KANSAS

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: 11/14/2023

NPI Synchronization or Removal

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