Provider Demographics
NPI:1942973110
Name:HAALAND, JAMIE ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ANN
Last Name:HAALAND
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 1:104 IRON DR
Mailing Address - Street 2:
Mailing Address - City:HUXLEY
Mailing Address - State:IA
Mailing Address - Zip Code:50124-2202
Mailing Address - Country:US
Mailing Address - Phone:720-544-1522
Mailing Address - Fax:
Practice Address - Street 1:2722 ASPEN RD
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-4481
Practice Address - Country:US
Practice Address - Phone:515-292-2480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA164561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily