Individual
JENNIFER L ACHENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 325-2484
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4342
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A094527
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437475
—
IA
05
—
0467475
—
IA
05
—
100251147-00
—
NE
01
—
241464
MIDLANDS CHOICE
—
Enumeration date
05/11/2006
Last updated
06/16/2008
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