Individual
JEAN L WESTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
621 S ILLINOIS AVE, SUITE 100, MASON CITY, IA 50401
(641) 428-6900
(641) 428-6909
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401
(641) 428-6900
(641) 428-6909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
039850
IA
363L00000X
Nurse Practitioner
C039850
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425017
—
IA
01
—
55760
WELLMARK BCBS
IA
Enumeration date
09/16/2005
Last updated
07/09/2025
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