Individual
MS. JORDAN LEA GREINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2605 WASHINGTON ST, IOWA DERMATOLOGY INC, PELLA, IA 50219-7924
(641) 620-9119
(641) 613-1305
Mailing address
2605 WASHINGTON ST, IOWA DERMATOLOGY INC, PELLA, IA 50219-7924
(641) 620-9119
(641) 613-1305
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1127557
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
IA
Enumeration date
06/29/2015
Last updated
08/10/2015
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