Jansen, Lisa M

Jansen, Lisa M is an individual health care provider with primary practice located at 2850 Westown Pkwy , West Des Moines IA 50266-1301. 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 / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Jansen, Lisa M can be contacted via phone (515) 224-5225.

Contact Information

Primary practice address
2850 Westown Pkwy West Des Moines IA 50266-1301
Phone: (515) 224-5225
Fax: (515) 224-5235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 115062 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X J-115062 Iowa

Profile Details

NPI number 1255644233
LBN Legal business name Jansen, Lisa M
Credentials A.R.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Mar 17th, 2018 - about 8 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 1255644233 NPPES
Iowa MEDICAID 1255644233

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