MEDICARE: JENNIFER A SPENDLOVE ARNP

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
1	163WW0101X	Ambulatory Women's Health Care Registered Nurse	138230	IA

General Provider Information

NPI Number	:	1316341969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER A SPENDLOVE ARNP

Provider Business Mailing Address
First Line	:	2501 WESTOWN PKWY
Second Line	:	SUITE 1101
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1427
Country	:	US
Telephone Number	:	515-267-8300
Fax Number	:	515-267-8872

Provider Business Practice Location Address
First Line	:	2501 WESTOWN PKWY
Second Line	:	SUITE 1101
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-1427
Country	:	US
Telephone Number	:	515-267-8300
Fax Number	:	515-267-8872

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2014
Last Update Date	:	10/10/2014

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