Katherine Jo Tupper, PA-C
Physician Assistant in Ankeny, IA. Individual provider (NPI-1).
NPI number1093575813
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1093575813
- Entity type
- Individual (NPI-1)
- Name
- Katherine Jo Tupper
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2024
- Certification date
- Feb 28, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 123676 | IA | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
350 Ne 36th StAnkeny, IA 50021-6728
Phone 515-224-1414
Mailing address
2430 Fayette AveIonia, IA 50645-9576
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All 38 Physician Assistant providers in Ankeny · All 1,631 providers in Ankeny
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