Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Practice Dermatology LLC

Organization Nurse Practitioner · NPI 1417867789

Advanced Practice Dermatology LLC provides Nurse Practitioner services in Liberal, Kansas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1031 N Kansas Ave
Liberal, KS 67901-2644
Phone: (620) 655-4302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1417867789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Ebersole — Arnp · (620) 655-4302
NPI enumeratedSeptember 9, 2026
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026
Mailing address240 Cactus Ln, Turpin, OK 73950-2067

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