Individual
FRANCES M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1223 S GEAR AVE, STE 108, WEST BURLINGTON, IA 52655-1682
(319) 753-5177
(319) 753-0893
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1474
(319) 356-3715
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27505
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065342
—
IA
01
—
33710
WELLMARK BC/BS
IA
Enumeration date
09/09/2005
Last updated
12/11/2007
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