DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KASSIDEE CHURCH

Active

KASSIDEE CHURCH is a Primary Care Nurse Practitioner healthcare provider located in DAVENPORT, Iowa. NPI 1306790233 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · DAVENPORT, IA

Registration Details

NPI Number
1306790233
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2026 (0.48052088237031 yrs)
Last Updated
Feb 26, 2026
License
H189738 (IA)

Practice Information

Address
1228 E RUSHOLME ST
MOB 1 STE 2100
DAVENPORT, IA, 528032453
Browse IA providers · Browse ZIP 52803
Phone
5634218460
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.