Provider Demographics
NPI:1417492687
Name:POWNELL, JANA (DNP, MED, RN-BC)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:
Last Name:POWNELL
Suffix:
Gender:F
Credentials:DNP, MED, RN-BC
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:
Other - Last Name:HEFFELFINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4910 INDIAN SUMMER LN SW
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:IA
Mailing Address - Zip Code:52227-8212
Mailing Address - Country:US
Mailing Address - Phone:319-331-2007
Mailing Address - Fax:
Practice Address - Street 1:2805 DODD RD STE 250
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-2123
Practice Address - Country:US
Practice Address - Phone:319-981-1731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120189163W00000X, 364SI0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SI0800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistInformatics
No163W00000XNursing Service ProvidersRegistered Nurse