Gregersen, Jamey L

Gregersen, Jamey L is an individual health care provider with primary practice located at 720 Kenyon Rd North Central Iowa Mental Health Center Inc Dba Unitypo, Fort Dodge IA 50501-5759. 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. Gregersen, Jamey L can be contacted via phone (515) 955-7171.

Contact Information

Primary practice address
720 Kenyon Rd North Central Iowa Mental Health Center Inc Dba Unitypo Fort Dodge IA 50501-5759
Phone: (515) 955-7171
Fax: (515) 573-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G109638 Iowa

Profile Details

NPI number 1164823092
LBN Legal business name Gregersen, Jamey L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2014
Last updated Dec 2nd, 2015 - about 11 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 1164823092 NPPES
Iowa MEDICAID 0159608

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