Healthcare Provider Details

I. General information

NPI: 1992497614
Provider Name (Legal Business Name): CATHERINE SUE JURGENS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE SUE JURGENS ARNP

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6132 NE 12TH AVE
PLEASANT HILL IA
50327-8911
US

IV. Provider business mailing address

6132 NE 12TH AVE
PLEASANT HILL IA
50327-8911
US

V. Phone/Fax

Practice location:
  • Phone: 515-824-5154
  • Fax: 515-209-2058
Mailing address:
  • Phone: 515-824-5154
  • Fax: 515-209-2058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG173829
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: