Individual
JESICA GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1100 36TH AVE, MOLINE, IL 61265-7127
(309) 743-6700
Mailing address
1236 E RUSHOLME ST STE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 324-8562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019088
IL
Other
Enumeration date
04/05/2019
Last updated
02/11/2021
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