Most Relevant Information
Provider Data
| NPI Number: | 1003560871 |
| Provider Name: | ALYSSA JADE HOMEWOOD PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 112210 |
Most Important Dates
| Enumeration Date: | 02/09/2022 |
| Last Updated: | 04/19/2024 |
Provider Practice Location
450 LAUREL ST STE A
DES MOINES
IA
503143045
Practice Location Phone/Fax
| Phone: | 5152478400 |
| Fax: | 5152488888 |
Provider Mailing Location
450 LAUREL ST STE A
DES MOINES
IA
503143045
Provider Mailing Phone/Fax
| Phone: | 5152073608 |
| Fax: |