Individual
TRACEY JURGENSMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 NW 114TH ST STE 151, CLIVE, IA 50325-7046
(515) 222-7474
(515) 222-7491
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7474
(515) 222-7491
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H-086758
IA
Other
Enumeration date
11/23/2009
Last updated
01/11/2019
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