Individual
MRS. JENNIFER LYNN VONBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
122 W RAMSEY ST, BANCROFT, IA 50517-8078
(515) 885-2336
(515) 885-2639
Mailing address
122 W RAMSEY ST, BANCROFT, IA 50517-8078
(515) 885-2336
(515) 885-2639
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001470
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36897
WELLMARK
IA
01
—
36898
WELLMARK
IA
Enumeration date
11/06/2006
Last updated
07/08/2020
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