Individual
KELLY-JO PASS BALIGNASAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6165 NW 86TH ST, JOHNSTON, IA 50131-2240
(515) 512-9161
(515) 293-6931
Mailing address
3108 155TH CIR, URBANDALE, IA 50323-1648
(515) 554-1737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-105278
IA
Other
Enumeration date
09/26/2016
Last updated
05/26/2026
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