Individual
JESSICA CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 S OLIVE ST, MAQUOKETA, IA 52060-3015
(563) 652-4958
(563) 652-2418
Mailing address
117 S OLIVE ST, MAQUOKETA, IA 52060-3015
(563) 652-4958
(563) 652-2418
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
136109
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G136109
IA
Other
Enumeration date
02/18/2014
Last updated
03/20/2020
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