Individual
MRS. JENNIFER LYNN PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1227 E RUSHOLME ST, GENISIS MEDICAL CTR, EAST CAMPUS, DAVENPORT, IA 52803-2459
(563) 421-6771
(563) 421-6770
Mailing address
1814 E LOCUST ST, DAVENPORT, IA 52803-2038
(563) 324-0471
(563) 324-2498
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.128044
IL
Other
Enumeration date
05/02/2008
Last updated
06/30/2021
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