NPI 1760791230
Christa Jackson
Practice location
- Address
- 1510 E Rusholme St, Davenport, IA 52803-2463
- Phone
- (563) 336-3000
- Fax
- (563) 344-1371
- Mailing address
- 500 W River Dr, Davenport, IA 52801-1014
Registered specialties (2)
Advanced Practice Midwife
Primary
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1760791230
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Oct 2010
- Record last updated
- 10 Jul 2024
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.