NPI 1205074713 · live from the CMS NPI Registry
Melissa Lynn Jobgen, ARNP
Nurse Practitioner, Pediatrics in Davenport, IA. National Provider Identifier 1205074713, active.
NPI record
| NPI | 1205074713 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807 |
| Practice phone | 563-424-2025 |
| Enumerated | January 22, 2009 |
| Last updated | February 26, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C-102201 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.