Witter, Jessica A
Witter, Jessica A is an individual health care provider with primary practice located at 3319 Spring Street , Davenport IA 52807-2125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Witter, Jessica A can be contacted via phone (563) 359-1641.Contact Information
Primary practice address
3319 Spring Street
Davenport IA 52807-2125
Phone: (563) 359-1641
Fax: (563) 359-4634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | L-094803 | Iowa |
Profile Details
| NPI number | 1720265366 |
|---|---|
| LBN Legal business name | Witter, Jessica A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2008 |
| Last updated | Sep 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720265366 | NPPES |
| Iowa | MEDICAID | 0450940 |
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