Individual
MRS. JENNIFER REBECCA MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
2709 W BRIGGS AVE, STE 1, FAIRFIELD, IA 52556-2649
(319) 356-1616
Mailing address
1010 S 4TH ST, FAIRFIELD, IA 52556-3917
(641) 451-1316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
A119156
IA
363LF0000X
Family Nurse Practitioner
Primary
A119156
IA
Other
Enumeration date
08/16/2017
Last updated
06/21/2024
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