Provider Demographics
NPI:1851965875
Name:OGDEN, JESSICA LEIGH (ARNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEIGH
Last Name:OGDEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5513 130TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVILIA
Mailing Address - State:IA
Mailing Address - Zip Code:50150-8707
Mailing Address - Country:US
Mailing Address - Phone:641-895-4093
Mailing Address - Fax:
Practice Address - Street 1:5513 130TH ST
Practice Address - Street 2:
Practice Address - City:LOVILIA
Practice Address - State:IA
Practice Address - Zip Code:50150-8707
Practice Address - Country:US
Practice Address - Phone:641-895-4093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA163251363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care