Organization
ELIM DPC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DEVAULT ARNP (OWNER)
(515) 316-4128
Entity
Organization
Contact information
Practice address
909 E 2ND AVE STE G, INDIANOLA, IA 50125-2892
(515) 316-4128
Mailing address
112 S 19TH CT, INDIANOLA, IA 50125-4725
(515) 316-4128
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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