Individual
JACQUELYN SUSAN BRUNGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
411 LAUREL ST STE 2100, DES MOINES, IA 50314-3026
(515) 247-3266
(515) 643-8688
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 247-3266
(515) 643-8688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A174701
IA
Other
Enumeration date
06/27/2023
Last updated
10/10/2023
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