Individual
JASON CHARLES LEGARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP, FNP-BC
Contact information
Practice address
3385 DEXTER CT, SUITE 300, DAVENPORT, IA 52807-3471
(563) 344-9292
(563) 344-9573
Mailing address
3385 DEXTER CT, SUITE 300, DAVENPORT, IA 52807-3471
(563) 344-9292
(563) 344-9573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A102406
IA
Other
Enumeration date
01/27/2006
Last updated
11/03/2009
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