Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer K. Theis, NP

Individual provider Nurse Practitioner · NPI 1639106560

Jennifer K. Theis, NP is a Nurse Practitioner in Joplin, Missouri. Qualified in 2000, 26 years ago. Practices with Community Health Center of Southeast Kansas Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Licensed in
MO
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3401 McIntosh Cir Ste 100
Joplin, MO 64804-3651
Phone: (417) 347-7200
Fax: (417) 347-7236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 142538 (MO)

Record details

NPI number1639106560
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Community Health Center Of Southeast Kansas Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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