Individual
JACQUELINE NICOLE BENEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
530 SOUTH 25TH STREET, FORT DODGE, IA 50501
(515) 576-2235
(515) 576-6863
Mailing address
1106 12TH AVE, MANSON, IA 50563-5085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
129046
IA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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