Individual
JENNIFER M WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395
Mailing address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209012267
IL
363LF0000X
Family Nurse Practitioner
Primary
A132335
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209012267
ILLINOIS LICENSE
IL
01
—
408010024
IOWA MEDICARE PTAN
IA
01
—
A132335
IOWA STATE LICENSE
IA
01
—
F400187712
ILLINOIS MEDICARE PTAN
IL
Enumeration date
12/05/2014
Last updated
11/29/2017
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