Individual
JENNIFER ANN EICKSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9508
(563) 264-0166
Mailing address
1518 MULBERRY AVE, MUSCATINE, IA 52761-3433
(563) 264-9508
(563) 264-0166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
121529
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447590708
—
IA
Enumeration date
02/25/2013
Last updated
01/15/2014
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