Jenna Zalk Berendzen
Nurse Practitioner - Community Health Nurse Practitioner - Psychiatric/Mental Health
615 Grant Ave
Waterloo
, Iowa 50702-2111
Jenna Zalk Berendzen
Nurse Practitioner - Community Health Nurse Practitioner - Psychiatric/Mental Health
615 Grant Ave
Waterloo
, Iowa 50702-2111
(319) 504-3802
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Jenna Zalk Berendzen
- 2300 Clay St
- Cedar Falls, IA
- Zip : 50613-4044
- Phone : (319) 504-3802
Second Address
- Jenna Zalk Berendzen
- 615 Grant Ave
- Waterloo, IA
- Zip : 50702-2111
- Fax : (319) 505-2082
- Phone : (319) 435-8212
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Is Jenna Zalk Berendzen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | A-113221 | IA |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | G555183 | IA |
National Provider Identifier
| NPI | 1093003055 |
|---|---|
| Provider Name | Jenna Zalk Berendzen |
| First Address | Cedar Falls, IA 50613-4044 |
| Second Address | Waterloo, IA 50702-2111 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2011 |
| Last Update Date | 20/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0076372 | (05) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.