Individual
JODI HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1370 NW 114TH ST STE 305, CLIVE, IA 50325-7012
(515) 316-9505
Mailing address
1370 NW 114TH ST STE 305, CLIVE, IA 50325-7012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129164
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G159700
IA
Other
Enumeration date
02/18/2015
Last updated
12/10/2025
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