Whalio Doctors

NPI 1528459393

Jacqueline Couch, CNA

Practitioner Community Health Worker Clive, IA

Practice location

Address
2594 NW 152nd St, Clive, IA 50325-4533
Phone
(515) 987-8155

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 257401 (IA)

Registry record

NPI
1528459393
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Feb 2015
Record last updated
13 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.