MEDICARE: JESSICA ANN PIERCE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	2086	NE
2	363A00000X	Physician Assistant	078993	IA

General Provider Information

NPI Number	:	1447634795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ANN PIERCE PA-C

Provider Business Mailing Address
First Line	:	1215 DUFF AVE
Second Line	:
City	:	AMES
State	:	IA
Zip	:	50010-5469
Country	:	US
Telephone Number	:	515-239-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 W WASHINGTON ST STE 2
Second Line	:
City	:	JEFFERSON
State	:	IA
Zip	:	50129-1920
Country	:	US
Telephone Number	:	515-386-4192
Fax Number	:	515-386-7401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2015
Last Update Date	:	01/28/2021

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Directions to “ JESSICA ANN PIERCE PA-C” Practice Location

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