Individual
JENNIFER E BOEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
608 NW 7TH ST, POCAHONTAS, IA 50574-1000
(712) 335-5632
Mailing address
608 NW 7TH ST, POCAHONTAS, IA 50574-1000
(712) 335-5632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3292
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242925
—
IA
01
—
42231
WELLMARK
IA
Enumeration date
08/11/2006
Last updated
06/28/2021
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