Provider Demographics
NPI:1528203411
Name:JIPP, NANCY K (ARNP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:K
Last Name:JIPP
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-5466
Mailing Address - Country:US
Mailing Address - Phone:563-332-4272
Mailing Address - Fax:563-344-6699
Practice Address - Street 1:5430 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-5466
Practice Address - Country:US
Practice Address - Phone:563-332-4272
Practice Address - Fax:563-344-6699
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB-081537367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife