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General NPI Number Information
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NPI Number | 1932102639
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Entity Type | Individual
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Provider Name | JEAN PAUL D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 800 E. FIRST STREET SUITE 1700
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City | ANKENY
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State | IA
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Zip | 50021-2100
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Country | US
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Telephone | 515-643-8100
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Fax | 515-643-8139
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Provider Business Mailing Address
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Address Line | PO BOX 1475
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City | DES MOINES
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State | IA
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Zip | 50305-1475
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Country | US
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Telephone | 515-643-8100
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Fax | 515-643-8139
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO-04469
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License Number State | IA
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