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Jacquelyn Stajcar
Family Nurse Practitioner in Centerville, Iowa
NPI 1114466513

Jacquelyn Stajcar is a Family Nurse Practitioner based in Centerville, IA and is specialized in Family. Jacquelyn Stajcar practices in Centerville, IA. The NPI Number for Jacquelyn Stajcar is 1114466513 and holds a License No. A125696 (Iowa).

The current practice location address for Jacquelyn Stajcar is 19942 Saint Joseph Dr, Centerville, IA and can be reached out via phone at 641-856-8684.

Location: 19942 Saint Joseph Dr, Centerville, IA, 52544-1737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114466513
Provider Name
Jacquelyn Stajcar
Credential
Provider Entity Type
Individual
Gender
Female
Address
19942 Saint Joseph Dr, Centerville, IA, 52544-1737
Phone Number
641-856-8684
Fax Number
Provider Enumeration Date
02/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A125696 01 IA LICENSE
institution
Provider Business Practice Location Address Details
Address
19942 Saint Joseph Dr
City
Centerville
State
Iowa
Zip
52544-8849
Phone Number
641-856-8684
Fax Number
person
Provider Business Mailing Address Details
Address
19942 Saint Joseph Dr
City
Centerville
State
Iowa
Zip
52544-8849
Phone Number
641-856-8684
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A125696 (Iowa)
Definition
Definition to come...
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