Individual
JANI LYNN BOOTHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 229-3622
Mailing address
5228 CREST DR, CHEROKEE, IA 51012-7249
(712) 229-3622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A160940
IA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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