Provider Demographics
NPI:1427766559
Name:EISCHEID, KORIE JORDAN (ARNP)
Entity type:Individual
Prefix:
First Name:KORIE
Middle Name:JORDAN
Last Name:EISCHEID
Suffix:
Gender:F
Credentials:ARNP
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Other - Credentials:
Mailing Address - Street 1:1200 UNIVERSITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2355
Mailing Address - Country:US
Mailing Address - Phone:515-248-1447
Mailing Address - Fax:515-248-1440
Practice Address - Street 1:101 IOWA AVE W
Practice Address - Street 2:STE 102
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4768
Practice Address - Country:US
Practice Address - Phone:641-753-4021
Practice Address - Fax:515-644-6792
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAF10220918207Q00000X
IAA171710363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine