Individual
LISA M JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
2850 WESTOWN PKWY, WEST DES MOINES, IA 50266-1301
(515) 224-5225
(515) 224-5235
Mailing address
1200 PLEASANT, SOUTH 2 ROOM 236, DES MOINES, IA 50309-1406
(515) 241-6228
(515) 241-8685
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
115062
IA
363LG0600X
Gerontology Nurse Practitioner
Primary
J-115062
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255644233
—
IA
Enumeration date
07/20/2010
Last updated
03/17/2018
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