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NPI Code Detail

MEDICARE: JENNIFER L BERNS CLINTON PA-C

MEDICARE:   JENNIFER L BERNS CLINTON  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant002015IA

General Provider Information

NPI Number : 1194958322
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L BERNS CLINTON PA-C
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-356-2572
Fax Number : 319-356-4505
Provider Business Practice Location Address
First Line : 920 E 2ND AVE STE 201A&B
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-2219
Country : US
Telephone Number : 319-356-2572
Fax Number : 319-356-4505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2009
Last Update Date : 04/14/2023

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Directions to “ JENNIFER L BERNS CLINTON PA-C” Practice Location

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