| Jessica Sue Lilland, GNP | |
|
1325 Ne 31st St, Ankeny, IA 50021-6695 | |
| (515) 279-1959 | |
| (515) 289-0888 |
| Full Name | Jessica Sue Lilland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1325 Ne 31st St, Ankeny, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366748212 | NPI | - | NPPES |
| 1457304446 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G166235 (Iowa) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | J-121837 (Iowa) | Secondary |
| Entity Name | Med Management Associates Of Iowa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871084384 PECOS PAC ID: 4183976921 Enrollment ID: O20181005002764 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Sue Lilland, GNP 2213 Grand Ave, Des Moines, IA 50312-5305 Ph: (515) 237-3974 | Jessica Sue Lilland, GNP 1325 Ne 31st St, Ankeny, IA 50021-6695 Ph: (515) 279-1959 |
Denise G Wheeler, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 N Ankeny Blvd, Ankeny, IA 50023 Phone: 515-964-4600 Fax: 515-963-9516 | |
Ms. Deidra A Veach, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 Sw Magazine Rd, Ankeny, IA 50023 Phone: 515-282-2921 Fax: 515-283-1035 | |
Tanver Mazumder, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Se Delaware Ave, Ankeny, IA 50021 Phone: 515-225-0188 | |
Mrs. Dawn M Sposato, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Sw Oralabor Rd, Ankeny, IA 50023 Phone: 515-965-0300 Fax: 515-471-9319 | |
Brittany Blythe, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1360 Nw 18th St Ste 102, Ankeny, IA 50023 Phone: 515-875-9730 Fax: 515-875-9731 | |
Kathleen Rousseau, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1105 N Ankeny Blvd, Ankeny, IA 50023 Phone: 515-964-4600 Fax: 515-963-4142 | |
Brenna Elyse Jiron, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2515 Sw State St Ste 200, Ankeny, IA 50023 Phone: 515-964-6999 Fax: 515-964-6970 |