Individual
JENNIFER CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 574-6845
Mailing address
802 KENYON RD, 513, FORT DODGE, IA 50501-5740
(515) 574-6890
(515) 574-6458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A120428
IA
Other
Enumeration date
07/01/2013
Last updated
08/12/2013
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