Provider Demographics
NPI:1447142336
Name:ELMORE, JENNIFER MARIE (MSN, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MARIE
Last Name:ELMORE
Suffix:
Gender:F
Credentials:MSN, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SLATER
Mailing Address - State:IA
Mailing Address - Zip Code:50244-9700
Mailing Address - Country:US
Mailing Address - Phone:515-231-3325
Mailing Address - Fax:
Practice Address - Street 1:1960 SW MAGAZINE RD
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-2978
Practice Address - Country:US
Practice Address - Phone:515-348-6380
Practice Address - Fax:515-452-0565
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG185714363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health