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Individual

JENNIFER VAN MEETEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-NP

Contact information

Practice address
320 EBAUGH ST, GLENWOOD, IA 51534-1811
(712) 527-5204
(712) 527-9346
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68917
NE
363L00000X
Nurse Practitioner
111506
NE
363L00000X
Nurse Practitioner
Primary
A142336
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026480100
NE
05
1154761021
IA
05
47068731712
NE
05
47068731734
NE
05
47068731741
NE
05
47068731749
NE
05
47068731777
NE
Enumeration date
06/25/2013
Last updated
11/10/2016
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