Basic Information
Provider Information
NPI: 1598979163
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NUEHRING
FirstName: JENNIE
MiddleName: S.
NamePrefix: MRS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 920 S OAK ST
Address2:  
City: IOWA FALLS
State: IA
PostalCode: 501269506
CountryCode: US
TelephoneNumber: 6416487000
FaxNumber:  
Practice Location
Address1: 626 DIVISION ST
Address2:  
City: WEBSTER CITY
State: IA
PostalCode: 505952235
CountryCode: US
TelephoneNumber: 5158329947
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/10/2007
LastUpdateDate: 10/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XA100825IAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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