Individual
JILL A. HUSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
337 11TH ST SW, SPENCER, IA 51301-5849
(712) 792-7500
(712) 792-7510
Mailing address
337 11TH ST SW, SPENCER, IA 51301-5849
(712) 792-7500
(712) 792-7510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A102988
IA
Other
Enumeration date
03/05/2018
Last updated
04/19/2024
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