Provider Demographics
NPI:1316341969
Name:SPENDLOVE, JENNIFER A (ARNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:SPENDLOVE
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 1:2501 WESTOWN PKWY
Mailing Address - Street 2:SUITE 1101
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1427
Mailing Address - Country:US
Mailing Address - Phone:515-267-8300
Mailing Address - Fax:515-267-8872
Practice Address - Street 1:2501 WESTOWN PKWY
Practice Address - Street 2:SUITE 1101
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1427
Practice Address - Country:US
Practice Address - Phone:515-267-8300
Practice Address - Fax:515-267-8872
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA138230163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory