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Contact Information

JESSICA A SOUTHARD, PA
1215 PLEASANT ST
SUITE 608
DES MOINES, IA50309
 Phone: 515-241-5760
 Fax: 515-241-8161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JESSICA A SOUTHARD · (Female)

NPI # 1568622389
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/16/2008
Last updated 06/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001933
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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