Healthcare Provider Details

I. General information

NPI: 1033054564
Provider Name (Legal Business Name): JESSICA LYNN NESHEIM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SW 7TH ST STE 300
DES MOINES IA
50309-4545
US

IV. Provider business mailing address

670 59TH ST
DES MOINES IA
50312-1250
US

V. Phone/Fax

Practice location:
  • Phone: 515-505-8697
  • Fax:
Mailing address:
  • Phone: 641-210-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number21095
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License Number21095
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: