Provider Demographics
NPI:1881432680
Name:TRESLAN, JAMIE CATHERINE
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:CATHERINE
Last Name:TRESLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 NE 49TH LN
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-6857
Mailing Address - Country:US
Mailing Address - Phone:661-420-0136
Mailing Address - Fax:
Practice Address - Street 1:920 NE 49TH LN
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-6857
Practice Address - Country:US
Practice Address - Phone:641-420-0136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care