Provider Demographics
NPI:1477272078
Name:HASLEY, JEANNETTE LEE (ARNP, CNM)
Entity Type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:LEE
Last Name:HASLEY
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3370 240TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-7564
Mailing Address - Country:US
Mailing Address - Phone:712-260-0710
Mailing Address - Fax:
Practice Address - Street 1:33 4TH ST NW
Practice Address - Street 2:
Practice Address - City:SIOUX CENTER
Practice Address - State:IA
Practice Address - Zip Code:51250-1870
Practice Address - Country:US
Practice Address - Phone:712-722-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife