person
Jyl L Wonnell, PA-C
Medical Physician Assistant in Nevada, Iowa
NPI 1316933856

Jyl L Wonnell is a Medical Physician Assistant based in Nevada, IA and is specialized in Medical. Jyl L Wonnell practices in Nevada, IA and has the professional credentials of PA-C. The NPI Number for Jyl L Wonnell is 1316933856 and holds a License No. 001551 (Iowa).

The current practice location address for Jyl L Wonnell is 640 S 19Th St Ste 100, Nevada, IA and can be reached out via phone at 515-382-5413 and via fax at 515-382-7107.

Location: 640 S 19Th St Ste 100, Nevada, IA, 50201-2902
person
Provider Profile Details
NPI Number
1316933856
Provider Name
Jyl L Wonnell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
640 S 19Th St Ste 100, Nevada, IA, 50201-2902
Phone Number
515-382-5413
Fax Number
515-382-7107
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q23957 01 UPIN
5100837 01 IA CONTROLLED SUBSTANCE #
93389 01 IA IA BCBS SEEN IN RI
098863 01 HEALTH ALLIANCE
institution
Provider Business Practice Location Address Details
Address
640 S 19Th St Ste 100
City
State
Zip
50201
Phone Number
515-382-5413
Fax Number
515-382-7107
person
Provider Business Mailing Address Details
Address
640 S 19Th St Ste 100
City
State
Zip
50201
Phone Number
515-382-5413
Fax Number
515-382-7107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001551 (Iowa)
Definition
Definition to come...
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