Provider Demographics
NPI:1861831265
Name:HERRIG, JENNA KALMES
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:KALMES
Last Name:HERRIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:LYN
Other - Last Name:KALMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF OBGYN
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2015
Mailing Address - Fax:319-356-6759
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF OBGYN
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2015
Practice Address - Fax:319-356-6759
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF134053363L00000X, 363LW0102X, 363LX0001X
WI155746-30363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology