Provider Demographics
NPI:1861026387
Name:JERABEK, KORBYN R (PA-C)
Entity type:Individual
Prefix:
First Name:KORBYN
Middle Name:R
Last Name:JERABEK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:12499 UNIVERSITY AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8288
Mailing Address - Country:US
Mailing Address - Phone:515-245-6425
Mailing Address - Fax:515-280-6954
Practice Address - Street 1:12499 UNIVERSITY AVE STE 280
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8288
Practice Address - Country:US
Practice Address - Phone:515-245-6425
Practice Address - Fax:515-280-6954
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA099754363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant