Individual
JENNIFER LEIGH PUDENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6450
Mailing address
720 PARK AVE, PO BOX 25, CALLENDER, IA 50523-4022
(515) 351-9651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-105220
IA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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