Individual
JACKLYN MARIE BESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-FNP
Contact information
Practice address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3014
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A125636
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932193224
—
IA
Enumeration date
09/23/2013
Last updated
10/14/2013
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