Healthcare Provider Details

I. General information

NPI: 1457055998
Provider Name (Legal Business Name): JAMI WITBECK MSN, ARNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 33RD AVE SW STE X
CEDAR RAPIDS IA
52404-4646
US

IV. Provider business mailing address

450 HIGHWAY 1 W STE 176
IOWA CITY IA
52246-4204
US

V. Phone/Fax

Practice location:
  • Phone: 319-560-5523
  • Fax: 319-403-0121
Mailing address:
  • Phone: 563-260-7223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG173738
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: