Individual
JENNIFER ANN MATZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4501 47TH ST, DES MOINES, IA 50310-2984
(515) 505-4727
Mailing address
4501 47TH ST, DES MOINES, IA 50310-2984
(515) 505-4727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G181603
IA
Other
Enumeration date
10/11/2024
Last updated
12/06/2024
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