Healthcare Provider Details

I. General information

NPI: 1851222533
Provider Name (Legal Business Name): JEWELL DOSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 4TH ST SW STE 8
MASON CITY IA
50401-1596
US

IV. Provider business mailing address

2800 4TH ST SW STE 8
MASON CITY IA
50401-1596
US

V. Phone/Fax

Practice location:
  • Phone: 641-424-0000
  • Fax: 641-424-6762
Mailing address:
  • Phone: 641-424-0000
  • Fax: 641-424-6762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA193726
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number163859
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: