Katherine Jo Tupper, PA-C

Physician Assistant · Ankeny, IA

Individual Active NPI

NPI number 1093575813

Practice location

350 NE 36TH St
Ankeny, IA 50021-6728
Phone
(515) 224-1414

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NPI record

NPI
1093575813
Entity type
Individual (Type 1)
Enumeration date
March 20, 2024
Last updated
March 20, 2024
Certified
February 28, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 123676 IA
Physician Assistant 363A00000X — —

Mailing address

2430 Fayette Ave
Ionia, IA 50645-9576

About Katherine Tupper

Katherine Jo Tupper, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 350 NE 36TH St, Ankeny, IA 50021-6728. The NPI number 1093575813 was assigned on March 20, 2024 and the record was last updated on March 20, 2024.

Katherine Tupper lists a license in the registry: #123676 (IA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katherine Jo Tupper, PA-C?

The NPI number is 1093575813.

What is the phone number of Katherine Tupper?

The phone number listed for the practice location is (515) 224-1414.

Where is Katherine Tupper located?

350 NE 36TH St, Ankeny, IA 50021-6728.

What is the taxonomy code for Katherine Tupper?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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