DR. Jesicah Elisabeth Ambrisco, DO

NPI #1023502622 in Davenport, Iowa

Provider Information

NPI Number: 1023502622
Entity Type: Individual
Name: DR. Jesicah Elisabeth Ambrisco, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 18, 2018
Last Updated: Apr 20, 2021

Practice Location

Address: 1345 W CENTRAL PARK AVE
City: Davenport
State: Iowa
ZIP Code: 52804-1844
Phone: (563) 421-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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