Individual
MS. JENNIFER LYNN FORKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
811 5TH AVE SE, CEDAR RAPIDS, IA 52403-2421
(319) 365-7581
(319) 365-0163
Mailing address
811 5TH AVE SE, CEDAR RAPIDS, IA 52403-2421
(319) 329-5104
(319) 365-0163
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A117562
IA
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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