Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ADVANCED PRACTICE DERMATOLOGY LLC
NPI 1417867789
Nurse Practitioner in Liberal, KS

Q: What is Advanced Practice Dermatology LLC's NPI number?

The NPI number for Advanced Practice Dermatology LLC is 1417867789. It was assigned to this organization in the NPPES registry on September 9, 2026.

Q: What is Advanced Practice Dermatology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 09, 2026

1031 N KANSAS AVE, LIBERAL, KS 67901(620) 655-4302 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Advanced Practice Dermatology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PRACTICE DERMATOLOGY LLC (NPI 1417867789) is a healthcare organization registered as a nurse practitioner in Liberal, Kansas and active in the NPI registry since September 2026. The organization lists Jennifer Ebersole, Arnp, as its authorized official.

NPPES Registry Identity

NPI1417867789

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameADVANCED PRACTICE DERMATOLOGY LLC

Location Address1031 N KANSAS AVELiberal, KS 67901-2644

Mailing Address240 Cactus LnTurpin, OK 73950-2067 · (620) 655-4302

Phone(620) 655-4302

Organization SubpartNo

Authorized OfficialJennifer EbersoleArnp · (620) 655-4302

Enumeration DateSeptember 9, 2026

NPPES CertifiedSeptember 9, 2026

✔ NPI 1417867789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1031 N KANSAS AVE, Liberal, KS 67901

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIERHEALTH, LLC

Nurse Practitioner (Family)

1031 N KANSAS AVE
LIBERAL, KS 67901

Seward County (620) 482-0746

DR RICK J FITZGERALD, M.D. PA

Internal Medicine

1031 N KANSAS AVE
LIBERAL, KS 67901

Seward County (620) 624-7550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Practice Dermatology LLC's NPI number?

The NPI number for Advanced Practice Dermatology LLC is 1417867789. It was assigned to this organization in the NPPES registry on September 9, 2026.

Where is Advanced Practice Dermatology LLC located?

Advanced Practice Dermatology LLC is located at 1031 N Kansas Ave, Liberal, KS 67901. The listed phone number is (620) 655-4302.

What is Advanced Practice Dermatology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Advanced Practice Dermatology LLC was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.