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General NPI Number Information
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NPI Number | 1043165343
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Entity Type | Individual
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Provider Name | JORDAN SNOOK
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Gender | Female
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 700 E UNIVERSITY AVE
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City | DES MOINES
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State | IA
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Zip | 50316-2302
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Country | US
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Telephone | 515-263-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 908 W ASPEN RIDGE CIR
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City | POLK CITY
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State | IA
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Zip | 50226-2294
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G189875
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 150980
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License Number State | IA
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