MRS. JENIFER EDSTROM (NPI# 1184125262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184125262 |
| Entity Type | Individual |
| Full Name | MRS. JENIFER EDSTROM |
| Credential | IBCLC, RN |
| Practice Address |
1419 6th Ave De Witt IA 52742-1161 |
| Practice Telephone | 5632106815 |
| Mailing Telephone | 5632106815 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
116923 | IA | Nursing Service Providers |
| Street Address |
1419 6TH AVE |
| City | DE WITT |
| State | IA |
| Zip Code | 52742-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1760808810 | Tracy Lynn Weller | Physical Therapy Assistant | 1331 5th Ave., Dewitt, IA 52742 | 2014-03-13 |
| 1255599981 | Patricia Ann Sheil | Chiropractor | 604 10th Street, Dewitt, IA 52742 | 2008-05-29 |
| 1205847340 | Dewitt Pharmacy Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2006-08-11 |
| 1083105639 | Cram Chiropractic, Pllc | Chiropractor | 602 12th Street, De Witt, IA 52742 | 2018-05-18 |
| 1780904854 | Life Rx Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2010-06-10 |
| 1528281094 | Jennifer Joan Walker | Pharmacist | 629 6th Ave, Scott Thrifty White Drug, Dewitt, IA 52742 | 2007-04-11 |
| 1932263639 | James Harland Demong | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-20 |
| 1114080603 | Patti Sue Rose Trenkamp | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| 1629131156 | Dennis C Bousselot | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| Find all providers in zip 52742 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782638 | Erica Ruth Sloan | Registered Nurse | 4055 Westown Pkwy, West Des Moines, IA 50266-1033 | 2020-02-16 |
| 1588171243 | Kaitlyn R Girskis | Registered Nurse | 2435 Kimberly Rd Ste 10, Bettendorf, IA 52722-3509 | 2018-01-03 |
| 1184130759 | Rebecca Lee Clark | Registered Nurse | 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 | 2017-12-19 |
| 1619320777 | Madelyn Lee Brunow | Registered Nurse | 3539 230th St, Woodbine, IA 51579-5064 | 2016-07-13 |
| 1992167415 | Lori Jean Theisen | Registered Nurse | 3268 Hillcrest Rd, Apartment 5, Dubuque, IA 52001-3939 | 2016-03-23 |
| 1447504758 | Angela E. Swieter | Registered Nurse | 5050 Ne 38th Ave, Des Moines, IA 50317-8036 | 2012-11-08 |
| 1396099024 | Elizabeth Buchholtz | Registered Nurse | 1010 Highway 69, Belmond, IA 50421-8006 | 2012-11-02 |
| 1659587129 | Julia M Schveiger | Registered Nurse | 509 W Quarry St, Maquoketa, IA 52060-2123 | 2007-05-14 |
| 1962017764 | Carrie Anne Kelderman | Registered Nurse | 404 Jefferson St, Pella, IA 50219-1257 | 2020-09-09 |
| 1952894834 | Louise Mcdonough | Registered Nurse | 1609 Cedar St, Muscatine, IA 52761-3426 | 2018-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JENIFER EDSTROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.