Individual
MS. MICHELLE R JANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 S 19TH ST, NEVADA, IA 50201-2902
(515) 382-2111
(515) 382-7760
Mailing address
640 S 19TH ST, NEVADA, IA 50201-2902
(515) 382-2111
(515) 382-7760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01206
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35739
BLUE CROSS
IA
Enumeration date
05/22/2006
Last updated
07/21/2022
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