Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | H140319 | IA |
N | 363LA2200X | Nurse Practitioner - Adult Health | H140319 | IA |
NPI | 1023583192 |
---|---|
Provider Name | Dr. Jessica Vann |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2018 |
Last Update Date | 05/12/2018 |