Provider Demographics
NPI:1578216263
Name:UHLMANN, JESSICA RAE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:RAE
Last Name:UHLMANN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:RAE
Other - Last Name:HRUBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2431 WILEY BLVD SW # 1013
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-6003
Mailing Address - Country:US
Mailing Address - Phone:319-666-4224
Mailing Address - Fax:877-384-3106
Practice Address - Street 1:1500 1ST AVE
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1192
Practice Address - Country:US
Practice Address - Phone:319-666-4224
Practice Address - Fax:877-384-3106
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA165857363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily