Individual
JENNIFER A VANDIVIER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
6000 UNIVERSITY AVE, SUITE 450, WEST DES MOINES, IA 50266-8203
(515) 241-2000
(515) 241-2005
Mailing address
6000 UNIVERSITY AVE, SUITE 450, WEST DES MOINES, IA 50266-8203
(515) 241-2000
(515) 241-2005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001425
IA
363AM0700X
Medical Physician Assistant
001425
IA
Other
Enumeration date
05/18/2006
Last updated
05/07/2026
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