NPI 1659991305
Liyah Jackson
Practice location
- Address
- 1607 W 12th St, Davenport, IA 52804-4086
- Phone
- (331) 662-8951
- Mailing address
- 420 W River Dr, Davenport, IA 52801-1150
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1659991305
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Apr 2020
- Record last updated
- 23 Apr 2020
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.