Lucas, Jennifer M
Lucas, Jennifer M is an individual health care provider with primary practice located at 2710 Saint Francis Dr #320, Waterloo IA 50702-5619. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lucas, Jennifer M can be contacted via phone (319) 272-5000.Contact Information
Primary practice address
2710 Saint Francis Dr #320
Waterloo IA 50702-5619
Phone: (319) 272-5000
Fax: (319) 272-8072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95031 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A143612 | Iowa |
Profile Details
| NPI number | 1275776841 |
|---|---|
| LBN Legal business name | Lucas, Jennifer M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2009 |
| Last updated | Jul 6th, 2016 - about 10 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275776841 | NPPES |
| Oklahoma | MEDICAID | 200244510A |
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