Provider Demographics
NPI:1417441999
Name:JUNIOR, KARISSA J (ARNP)
Entity Type:Individual
Prefix:
First Name:KARISSA
Middle Name:J
Last Name:JUNIOR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KARISSA
Other - Middle Name:J
Other - Last Name:SHINDELAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1215 DUFF AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-5469
Mailing Address - Country:US
Mailing Address - Phone:515-956-4044
Mailing Address - Fax:515-956-4075
Practice Address - Street 1:802 S CENTER ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-3350
Practice Address - Country:US
Practice Address - Phone:641-844-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA133743363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner