Individual
JENNIFER M EDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP, ARNP
Contact information
Practice address
160 E MAIN STREET, DENVER, IA 50622
(319) 984-5645
(319) 984-5364
Mailing address
PO BOX 1455, DES MOINES, IA 50305-1455
(515) 471-9373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A104451
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481945
—
IA
01
—
05190
WELLMARK
IA
Enumeration date
07/08/2006
Last updated
07/08/2007
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