Healthcare Provider Details

I. General information

NPI: 1487582383
Provider Name (Legal Business Name): JODEEN FRANCIS ADULT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 N KIMBERLITE ST
TIFFIN IA
52340-9261
US

IV. Provider business mailing address

560 N KIMBERLITE ST
TIFFIN IA
52340-9261
US

V. Phone/Fax

Practice location:
  • Phone: 701-415-8610
  • Fax:
Mailing address:
  • Phone: 701-415-8610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH191166
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: