Nurse Practitioner, Family
A-1 IV REHYDRATION CLINIC AND LOUNGE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1932806783 · enumerated 2023-02-13 · record updated 2023-04-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TERESA JACKSON, Owner · (316) 377-0462
Addresses and phones
- Practice location 450 N 159TH ST E, WICHITA, KS, 67230-7704 (316) 377-0462 Google Maps Apple Maps OpenStreetMap
- Mailing address 450 N 159TH ST E, WICHITA, KS, 67230-7704 (316) 377-0462 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary
In this directory
Locations and evidence
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Practice location
WICHITA, KS, 672307704
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.