Doctor Name: | JOHN MAXWELL TIMMONS |
NPI Number: | 1609209543 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNP |
License Number: | F07131130 |
Business Practice Address: | 800 Oak St Sheldon, IA - 512011242 |
Business Phone Number: | 7123245356 |
Business Fax Number: | 7123246512 |
Mailing Address: | Po Box 5074, SIOUX FALLS |
State: | SD |
Postal Code: | 571175074 |
Phone Number: | 6053286585 |
Fax Number: | 6053286512 |
NPI Enumeration Date: | 08/14/2013 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | F07131130 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |