Healthcare Provider Details

I. General information

NPI: 1750298113
Provider Name (Legal Business Name): JAMIE GLOAR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 11TH ST
ROCK ISLAND IL
61201-5216
US

IV. Provider business mailing address

500 W RIVER DR
DAVENPORT IA
52801-1014
US

V. Phone/Fax

Practice location:
  • Phone: 563-336-3000
  • Fax:
Mailing address:
  • Phone: 563-336-3000
  • Fax: 563-336-3125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA193462
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: