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NPI Code Detail

MEDICARE: JENNIFER LYN MESSERSMITH PA-C

MEDICARE: JENNIFER LYN MESSERSMITH 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 Assistant088067IA

General Provider Information

NPI Number : 1861736340
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYN MESSERSMITH PA-C
Provider Business Mailing Address
First Line : PO BOX 1475
Second Line :
City : DES MOINES
State : IA
Zip : 50305-1475
Country : US
Telephone Number : 515-300-3900
Fax Number : 515-300-3901
Provider Business Practice Location Address
First Line : 250 SW BROOKSIDE DR
Second Line :
City : GRIMES
State : IA
Zip : 50111-4900
Country : US
Telephone Number : 515-300-3900
Fax Number : 515-300-3901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2012
Last Update Date : 03/17/2018

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Directions to “ JENNIFER LYN MESSERSMITH PA-C” Practice Location

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