Individual
JESSICA LEE STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 621-2200
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2200
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H131232
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952810087
NPI
IA
01
—
A154083
LICENSE
IA
Enumeration date
09/20/2017
Last updated
09/29/2020
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