Individual
TASHA MAE JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
516 13TH ST, WELLMAN, IA 52356-9232
(319) 646-2911
Mailing address
4711 GOLF RD STE 1250, SKOKIE, IL 60076-1232
(847) 235-6130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
115158
NE
363LF0000X
Family Nurse Practitioner
209.030152
IL
363LF0000X
Family Nurse Practitioner
Primary
A135164
IA
Other
Enumeration date
08/27/2019
Last updated
03/05/2025
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