Healthcare Provider Details

I. General information

NPI: 1588552053
Provider Name (Legal Business Name): VANESSA KIM-WALKER PAQUETTE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 HOSPITAL DR
WEBSTER CITY IA
50595-6600
US

IV. Provider business mailing address

2025 GORDON PASS
FORT DODGE IA
50501-8728
US

V. Phone/Fax

Practice location:
  • Phone: 515-832-9400
  • Fax:
Mailing address:
  • Phone: 901-674-4699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA193082
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: