Individual provider · NPI-1

Jordan Lynn Bauer

Nurse Practitioner, Family · Sioux City, IA

NPI number1114832805
StatusActive
Last updated in NPPESAug 17, 2026

Details

NPI
1114832805
Entity type
Individual (NPI-1)
Name
Jordan Lynn Bauer
Sex
Female
Sole proprietor
No
Enumeration date
Aug 17, 2026
Certification date
Aug 17, 2026
Last updated
Aug 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyA193479IAYes

Practice location

1021 Nebraska St
Sioux City, IA 51105-1436

Phone 712-252-2477

Mailing address

1021 Nebraska St
Sioux City, IA 51105-1436

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