Individual
JENNA MAE MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1212 PLEASANT ST STE LL3, DES MOINES, IA 50309-1414
(515) 241-8866
Mailing address
1212 PLEASANT ST STE LL3, DES MOINES, IA 50309-1414
(515) 241-8866
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-50097
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/31/2017
Last updated
08/30/2022
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