Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ANTHONY JENNISSEN, MD
ActiveCHARLES ANTHONY JENNISSEN, MD is a Pediatric Emergency Medicine healthcare provider located in IOWA CITY, Iowa. NPI 1033194188 is currently active in the NPPES registry. Verify at CMS.
Pediatric Emergency Medicine · IOWA CITY, IA
Registration Details
- NPI Number
- 1033194188
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2005 (20.698723056986 yrs)
- Last Updated
- Dec 11, 2007
- License
-
26724 (IA)
Practice Information
- Address
-
200 HAWKINS DRIOWA CITY, IA, 522421009Browse IA providers · Browse ZIP 52242
- Phone
- 3193566360
- Fax
- 3193849184
- Primary Specialty
-
Pediatric Emergency Medicine
2080P0204X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.