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Individual

JESSICA R THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
1502 MADISON ST, BEDFORD, IA 50833-1043
(712) 523-2196
(712) 523-2198
Mailing address
1502 MADISON ST, BEDFORD, IA 50833-1043
(712) 523-2196
(712) 523-2198

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A154989
IA

Other

Enumeration date
06/18/2019
Last updated
06/18/2019
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