Individual
TARA MARIE JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 CAREY AVE, DAVENPORT, IA 52803-1746
(309) 912-5101
Mailing address
3111 CAREY AVE, DAVENPORT, IA 52803-1746
(309) 912-5101
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
441908
IA
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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