| Doctor Name: | MS. IDA N JUNGE |
| NPI Number: | 1841283868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 071921 |
| Business Practice Address: | 504 Nw 10th Ave. Ava, MO - 656081359 |
| Business Phone Number: | 4176835739 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1359, AVA |
| State: | MO |
| Postal Code: | 656081359 |
| Phone Number: | 4176835739 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2005 |
| NPI Last Update Date: | 02/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 071921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |