NPI
Jenna Niccolls
NPI 1871120469
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2020-03-24
- Last updated
- 2025-09-11
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Specialties
Licenses
- License IA
- 105061
Location
- Practice location
- 2515 Cyclone Dr Ste B
- City
- Waterloo IA
- Postal code
- 50701-9715
- Phone
- (319) 888-8044
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Waterloo, IA. 1,955 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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