Individual
JENNIFER LYNN ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6582 165TH ST, ALBIA, IA 52531-8793
(641) 932-7172
(641) 932-7174
Mailing address
6582 165TH ST, ALBIA, IA 52531-8793
(641) 932-7172
(641) 932-7174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
105742
IA
363LF0000X
Family Nurse Practitioner
Primary
A105742
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0728006
—
IA
01
—
27246
WELLMARK BCBS
IA
01
—
27254
WELLMARK BCBS
IA
01
—
27314
WELLMARK BCBS
IA
01
—
27327
WELLMARK BCBS
IA
01
—
27328
WELLMARK BCBS
IA
Enumeration date
07/15/2006
Last updated
05/28/2021
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