Individual
JUSTICE LYRIC HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-C
Contact information
Practice address
1820 E 54TH ST STE B, DAVENPORT, IA 52807-2797
(563) 355-9990
Mailing address
1820 E 54TH ST STE B, DAVENPORT, IA 52807-2797
(563) 355-9990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A182502
IA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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