Individual
BETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2319
(515) 282-3234
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2319
(515) 282-3234
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
063885
IA
Other
Enumeration date
09/29/2005
Last updated
01/30/2008
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