Individual
JODY L KAPUSTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1111 DUFF AVE, AMES, IA 50010-5745
(515) 239-2011
Mailing address
2521 UNIVERSITY BLVD STE 121, AMES, IA 50010-8629
(515) 292-2150
(515) 292-2184
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G-102777
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G-102777
LICENSE
IA
Enumeration date
11/10/2010
Last updated
02/27/2023
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