Individual
JODY L LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
918 W PLATT ST, MAQUOKETA, IA 52060-2038
(563) 652-5145
(563) 652-3674
Mailing address
918 W PLATT ST, MAQUOKETA, IA 52060-2038
(563) 652-5145
(563) 652-3674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-090003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075902
HEALTH ALLIANCE
—
05
—
1266429
—
IA
01
—
236964
MIDLANDS CHOICE
—
01
—
34150
WELLMARK BC/BS-DEWITT
IA
01
—
34151
WELLMARK BC/BS-CLINTON
IA
01
—
IA01C4
JOHN DEERE HEALTH
—
Enumeration date
05/13/2006
Last updated
05/19/2021
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