Individual
JACOB KWYN ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
Mailing address
5171 DEERFIELD DR, BURLINGTON, IA 52601-2507
(319) 252-3221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A182849
IA
Other
Enumeration date
01/20/2025
Last updated
02/20/2025
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