person
Mrs. Jacqueline Ruth Sullivan-ogg, ARNP-BC
Family Nurse Practitioner in Underwood, Iowa
NPI 1932153632

Jacqueline Ruth Sullivan-ogg is a Family Nurse Practitioner based in Underwood, IA and is specialized in Family. Jacqueline Ruth Sullivan-ogg practices in Underwood, IA and has the professional credentials of ARNP-BC. The NPI Number for Jacqueline Ruth Sullivan-ogg is 1932153632 and holds a License No. A-082459 (Iowa).

The current practice location address for Jacqueline Ruth Sullivan-ogg is 401 Highway St, Underwood, IA and can be reached out via phone at 712-566-9148 and via fax at 712-566-9408.

Location: 401 Highway St, Underwood, IA, 51576-0218
person
Provider Profile Details
NPI Number
1932153632
Provider Name
Jacqueline Ruth Sullivan-ogg
Credential
ARNP-BC
Provider Entity Type
Individual
Gender
Female
Address
401 Highway St, Underwood, IA, 51576-0218
Phone Number
712-566-9148
Fax Number
712-566-9408
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00338315 01 IA RAILROAD MEDICARE
0498329 05 IA
270478 01 IA MEDICARE ID
110194 01 NE ARNP LICENSE
A- 082459 01 IA ARNP LICENSE
institution
Provider Business Practice Location Address Details
Address
401 Highway St
City
State
Zip
51576
Phone Number
712-566-9148
Fax Number
712-566-9408
person
Provider Business Mailing Address Details
Address
401 Highway St
City
State
Zip
51576
Phone Number
712-566-9148
Fax Number
712-566-9408
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A-082459 (Iowa)
Definition
Definition to come...
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