Pifkin, Jessica Ellen

Pifkin, Jessica Ellen is an individual health care provider with primary practice located at 2140 Logan Ave Ste B , Waterloo IA 50703-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pifkin, Jessica Ellen can be contacted via phone (319) 226-8470.

Contact Information

Primary practice address
2140 Logan Ave Ste B Waterloo IA 50703-1002
Phone: (319) 226-8470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-116473 Iowa

Profile Details

NPI number 1861778508
LBN Legal business name Pifkin, Jessica Ellen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2011
Last updated Feb 7th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861778508 NPPES
Iowa MEDICAID 1861778502

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