Provider Demographics
NPI:1891059606
Name:JEWELL, BRIANNA D (DO)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:D
Last Name:JEWELL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:621 S ILLINOIS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5489
Mailing Address - Country:US
Mailing Address - Phone:641-428-3041
Mailing Address - Fax:641-428-3059
Practice Address - Street 1:1010 4TH ST SW
Practice Address - Street 2:SUITE 340
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2857
Practice Address - Country:US
Practice Address - Phone:641-428-7766
Practice Address - Fax:641-428-7788
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2015-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAR-9444207Q00000X
IA04501207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine