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Contact Information

MELISSA L JOBGEN, ARNP
5510 UTICA RIDGE RD STE 100
DAVENPORT, IA52807-2935
 Phone: 563-424-2025
 Fax: 563-424-2042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MELISSA L JOBGEN · (Female)

NPI # 1205074713
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 01/22/2009
Last updated 02/26/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # C-102201
  • IA Medicaid 1100782
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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