Organization
GENESIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA ANN WITTER ACUTE CARE NP (ADV REGISTERED NP)
(563) 421-3990
Entity
Organization
Contact information
Practice address
1236 E RUSHOLME ST STE 150, DAVENPORT, IA 52803-2473
(563) 421-3990
Mailing address
1236 E RUSHOLME ST STE 150, DAVENPORT, IA 52803-2473
(563) 421-3990
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
L094803
IA
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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