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JENNIFER L ACHENBACH

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1013967280

Individual Registrant:
 JENNIFER L ACHENBACH 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
800 MERCY DR  COUNCIL BLUFFS, IA 51503-3128 US
Tel: 712-325-2484  Fax: --

Contact information for business:
4750 HEMPSTEAD STATION DR  KETTERING, OH 45429-5164 US
Tel: 800-875-0136  Fax: 937-619-4342

Registration Information:
NPI: 1013967280
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
IAA094527

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0467475IA05
100251147-00NE05
MIDLANDS CHOICE24146401
0437475IA05




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