Jenna Marie Elsbernd
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fayette, IA
NPI 1861966194 · NPPES record last updated Jan 21, 2019
Key facts
- NPI
- 1861966194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 605 Washington St
Fayette, IA 52142-9206 - Phone
- (563) 419-8228
- NPI assigned
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
605 Washington St
Fayette, IA 52142-9206
Mailing address
1819 227TH Ave
Calmar, IA 52132-7591
Phone (563) 419-8228
Other practice location 1
1819 227th Ave
Calmar, IA 52132-7591
Phone (563) 419-8228
Other providers in Fayette, IA
- Cedar Sage PLLC
- Charming Smiles PC
- City of Fayette
- Colonial Manors of Fayette, Inc
- Kyle James Domin
- Ryan Scott Fonkert
- Joshua Ron Formanek
- Miranda Leann Franck
- Gundersen Clinic, LTD.
- Hands on Health Inc.
All providers in Fayette, IA · Student in an Organized Health Care Education/Training Program in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.