Individual
TASHA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
600 9TH AVE N, SIBLEY, IA 51249-1012
(712) 754-3658
(712) 754-2634
Mailing address
600 9TH AVE N # 277, SIBLEY, IA 51249-1012
(712) 754-3658
(712) 754-2634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A122149
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122149
IOWA BOARD OF NURSING
IA
Enumeration date
09/03/2014
Last updated
11/29/2018
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