Individual
MRS. MELINDA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-BC
Contact information
Practice address
1212 W MARION ST, MANCHESTER, IA 52057-2314
(563) 822-0081
Mailing address
917 RED OAK ST, MANCHESTER, IA 52057-9401
(563) 608-4481
(563) 822-1052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A166588
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A166588
ARNP
IA
Enumeration date
12/04/2021
Last updated
04/21/2026
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