Healthcare Provider Details

I. General information

NPI: 1023709839
Provider Name (Legal Business Name): LYNELLE MARIE HESS CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST
DES MOINES IA
50309-1453
US

IV. Provider business mailing address

1200 PLEASANT ST
DES MOINES IA
50309-1453
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-5437
  • Fax:
Mailing address:
  • Phone: 515-241-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP027734
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number0024191845
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberC188196
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001333136
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN682642
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: