# JESSICA LEE STREETER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952810087
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | H131232 | IA | Yes |

## Other

- **Enumeration date:** 09/20/2017
- **Last updated:** 09/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1952810087 | NPI | IA |
| 01 | — | A154083 | LICENSE | IA |