Individual
JACQUELINE JOY MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C,CAQ PSYCHIATRY
Contact information
Practice address
625 COURT STREET, SIOUX CITY, IA 51101-1911
(712) 252-3871
(712) 252-3157
Mailing address
625 COURT STREET, SIOUX CITY, IA 51101-1911
(712) 252-3871
(712) 252-3157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP2501
MA
Other
Enumeration date
03/11/2008
Last updated
06/01/2022
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