Individual
JESSICA LANE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E PENNSYLVANIA AVENUE, OTTUMWA, IA 52501
(641) 684-2300
Mailing address
1716 W 7TH ST, DAVENPORT, IA 52802-1027
(563) 723-1867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A186318
IA
Other
Enumeration date
08/12/2025
Last updated
10/09/2025
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