Provider Demographics
NPI:1629056106
Name:MARCY, JENNIFER (MS, CGC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:MARCY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3604 POINT RD NE
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-9301
Mailing Address - Country:US
Mailing Address - Phone:319-665-9640
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT. OF PEDS. UNIVERSITY OF IOWA HOSPITALS AND CLINICS
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-353-6133
Practice Address - Fax:319-356-3347
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS