Individual
JESSICA SUE LILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1325 NE 31ST ST, ANKENY, IA 50021-6695
(515) 279-1959
(515) 289-0888
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
J-121837
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G166235
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457304446
—
IA
Enumeration date
02/09/2011
Last updated
05/22/2023
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