Individual
JACLYN ANN BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1525 GRAND AVE, WEST DES MOINES, IA 50265-3442
(515) 226-0112
(515) 223-0422
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 226-0112
(515) 223-0422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
125134
IA
363A00000X
Physician Assistant
—
CO
363AM0700X
Medical Physician Assistant
PA.0005433
CO
Other
Enumeration date
07/13/2018
Last updated
09/20/2024
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