Provider Demographics
NPI:1356789465
Name:ZAUCHE, JOCELYN ROBIN (C-PNP)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:ROBIN
Last Name:ZAUCHE
Suffix:
Gender:F
Credentials:C-PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N. HILLSIDE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4619
Mailing Address - Country:US
Mailing Address - Phone:316-962-3304
Mailing Address - Fax:316-962-2152
Practice Address - Street 1:550 N. HILLSIDE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4619
Practice Address - Country:US
Practice Address - Phone:316-962-3304
Practice Address - Fax:316-962-2152
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS75944363LP0200X, 363L00000X
MO2013009787363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics