Individual
MS. JAYNE ELLEN PEAK
Active
Individual
MS. JAYNE ELLEN PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7967
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03262
WELLMARK BCBS
IA
05
—
1583450
—
IA
01
—
15939
IOWA MIDLANDS CHOICE
IA
05
—
2583450
—
IA
Enumeration date
06/02/2005
Last updated
09/15/2020
Update your record
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