| Doctor Name: | MRS. JAMEY L GREGERSEN |
| NPI Number: | 1164823092 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | G109638 |
| Business Practice Address: | 720 Kenyon Rd North Central Iowa Mental Health Center Inc Dba Unitypo Fort Dodge, IA - 505015759 |
| Business Phone Number: | 5159557171 |
| Business Fax Number: | 5155737898 |
| Mailing Address: | 720 Kenyon Rd, North Central Iowa Mental Health Center Inc Dba Unitypo FORT DODGE |
| State: | IA |
| Postal Code: | 505015759 |
| Phone Number: | 5159557171 |
| Fax Number: | 5155737898 |
| NPI Enumeration Date: | 09/10/2014 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | G109638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |