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Individual

MRS. JACQUELENE DIANE GARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2401 CRESTVIEW DRIVE, OSKALOOSA, IA 52577
(641) 673-3000
(641) 673-5846
Mailing address
2401 CRESTVIEW DRIVE, OSKALOOSA, IA 52577
(641) 673-3000
(641) 673-5846

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
H091549
IA
363LG0600X
Gerontology Nurse Practitioner
Primary
H091549
IA

Other

Enumeration date
11/06/2019
Last updated
11/06/2019
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