Individual
JENNIFER A. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
788 8TH AVE SE, SUITE 400, CEDAR RAPIDS, IA 52401-2119
(319) 832-2328
(319) 832-1168
Mailing address
788 8TH AVE SE, SUITE 400, CEDAR RAPIDS, IA 52401
(319) 832-2328
(319) 832-1168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H104170
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71960
MEDICARE, GROUP
—
01
—
CA3899
MEDICARE GROUP RR
—
Enumeration date
12/06/2006
Last updated
12/06/2013
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