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Contact Information

JYL L WONNELL, PA-C
640 S 19TH ST STE 100
NEVADA, IA50201
 Phone: 515-382-5413
 Fax: 515-382-7107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JYL L WONNELL · (Female)

NPI # 1316933856
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/20/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001551
  • Other 098863 HEALTH ALLIANCE
  • Other Q23957 UPIN
  • IA Other 5100837 CONTROLLED SUBSTANCE #
  • IA Other 93389 IA BCBS SEEN IN RI
Hospital affiliation(s)
  • MARY GREELEY MEDICAL CENTER - (Acute Care)
    1111 DUFF AVENUE
    AMES, IA 50010
  • STORY COUNTY HOSPITAL - (Critical Access)
    640 SOUTH 19TH STREET
    NEVADA, IA 50201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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