Kapustka, Jody L

Kapustka, Jody L is an individual health care provider with primary practice located at 1111 Duff Ave , Ames IA 50010-5745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kapustka, Jody L can be contacted via phone (515) 239-2011.

Contact Information

Primary practice address
1111 Duff Ave Ames IA 50010-5745
Phone: (515) 239-2011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G-102777 Iowa

Profile Details

NPI number 1275834012
LBN Legal business name Kapustka, Jody L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2010
Last updated Feb 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275834012 NPPES
Iowa Other G-102777 LICENSE

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