Healthcare Provider Details

I. General information

NPI: 1457281891
Provider Name (Legal Business Name): JAMIE MEISTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 HIGHLAND AVE
SAC CITY IA
50583-2411
US

IV. Provider business mailing address

203 LAKE ST
LAKE VIEW IA
51450-7601
US

V. Phone/Fax

Practice location:
  • Phone: 712-662-7119
  • Fax:
Mailing address:
  • Phone: 712-660-2191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA191270
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: