Individual
MRS. JENNA THERESE HIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
700 WAVERLY RD, DAVENPORT, IA 52804-4317
(563) 723-7188
Mailing address
1209 12TH AVE, MOLINE, IL 61265-3004
(309) 781-2643
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A180607
IA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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