Provider Demographics
NPI:1013396639
Name:MILBY, JENNIFER JUNE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JUNE
Last Name:MILBY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:JUNE
Other - Last Name:TERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:321 MILL ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:IA
Mailing Address - Zip Code:51001-7712
Mailing Address - Country:US
Mailing Address - Phone:712-568-2411
Mailing Address - Fax:
Practice Address - Street 1:321 MILL ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:IA
Practice Address - Zip Code:51001-7712
Practice Address - Country:US
Practice Address - Phone:712-568-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA102910363LF0000X
SDCP000949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily