Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | H164285 | IA |
N | 363LA2200X | Nurse Practitioner - Adult Health | H164285 | IA |
N | 363LG0600X | Nurse Practitioner - Gerontology | H164285 | IA |
N | 363LP2300X | Nurse Practitioner - Primary Care | H164285 | IA |
NPI | 1063083269 |
---|---|
Provider Name | Jennifer Lynn Franzwa |
First Address | North Liberty, IA 52317-8025 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2021 |
Last Update Date | 13/09/2021 |