HomeNPI Verification
NPI Verification
National Provider Identifier: 1023502622
Jesicah Elisabeth Ambrisco, DO
Individual Provider
Credentials
DO
Primary Specialty
Family Medicine
Code: 207Q00000X
Practice Address
1345 W CENTRAL PARK AVE
DAVENPORT, IA 528041844
Phone: 563-421-4400
NPI Enumeration Date
June 18, 2018
NPI Number
1023502622Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry