Individual
DR. JILL LYNNETTE NESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1500 CENTER ST NE STE 102, CEDAR RAPIDS, IA 52402-5500
(319) 393-4673
(319) 200-4068
Mailing address
1500 CENTER ST NE STE 102, CEDAR RAPIDS, IA 52402-5500
(319) 393-4673
(319) 200-4068
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00533
IA
231H00000X
Audiologist
147-001177
IL
237700000X
Hearing Instrument Specialist
814
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448704
—
IA
Enumeration date
08/11/2006
Last updated
01/24/2020
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