Provider Demographics
NPI:1588001747
Name:UNDERWOOD, JEAN (ARNP)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:UNDERWOOD
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 1:101 COLLEGE OF NURSING BLDG
Mailing Address - Street 2:50 NEWTON ROAD
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1117
Mailing Address - Country:US
Mailing Address - Phone:319-248-1267
Mailing Address - Fax:319-384-0080
Practice Address - Street 1:101 COLLEGE OF NURSING BLDG
Practice Address - Street 2:50 NEWTON ROAD
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1117
Practice Address - Country:US
Practice Address - Phone:319-248-1267
Practice Address - Fax:319-384-0080
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG-132350363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health