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KELLY J JERGENSON ARNP
NPI 1114921772
Nurse Practitioner in Clinton, IA

Active since June 10, 2005
221 MAIN AVE, CLINTON, IA 52732(563) 242-7522(563) 242-7534 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly J Jergenson Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY J JERGENSON ARNP (NPI 1114921772) is an individual nurse practitioner in Clinton, Iowa, licensed in Iowa (A-077904) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1114921772
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY J JERGENSONCredential: ARNP
Location Address221 MAIN AVEClinton, IA 52732-2241
Mailing Address221 Main AveClinton, IA 52732-2241 · (563) 242-7522 · Fax (563) 242-7534
Phone(563) 242-7522
Fax(563) 242-7534
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateOctober 5, 2007
✔ NPI 1114921772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A-077904
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
221 MAIN AVE, Clinton, IA 52732
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Other Identifiers 3

Medicare UPINP25283
Medicare ID-Type UnspecifiedI1330IA
Medicare PINI1330IA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOROTHY JEAN ANDERSON ARNP
Nurse Practitioner
221 MAIN AVE
CLINTON, IA 52732
Clinton County (563) 242-7522
DOUGLAS J JERGENSON MD
Internal Medicine
221 MAIN AVE
CLINTON, IA 52732
Clinton County (563) 242-7522
CLINTON MEDICAL CLINIC PHARMACY INC
Pharmacy (Clinic Pharmacy)
221 MAIN AVE
CLINTON, IA 52732
Clinton County (563) 242-1724
RIVER CITIES INTERNAL MEDICINE PC
Internal Medicine
221 MAIN AVE
CLINTON, IA 52732
Clinton County (563) 242-7522
DR. ERIN KIMBERLY HERNDON M.D.
Internal Medicine
221 MAIN AVE
CLINTON, IA 52732
Clinton County (563) 242-7522
AMANDA S DALASKA ARNP
Nurse Practitioner (Family)
221 MAIN AVE
CLINTON, IA 52732
Clinton County (563) 242-7522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Jergenson's NPI number?

The NPI number for Kelly Jergenson is 1114921772. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Kelly Jergenson located?

Kelly Jergenson practices at 221 Main Ave, Clinton, IA 52732. The listed phone number is (563) 242-7522.

What is Kelly Jergenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Jergenson was last updated on October 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.