Individual
DR. JODI L MENNINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, PMHNP-BC
Contact information
Practice address
1914 CARPENTER AVE, DES MOINES, IA 50314-1309
(515) 282-5742
(515) 282-5744
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 282-2200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G180671
IA
Other
Enumeration date
08/08/2024
Last updated
12/18/2024
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