TARA MARIE JACKS
NPI 1245185917
Registered Nurse - Emergency in Davenport, IA
Active since February 27, 2026
About Tara Marie Jacks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA MARIE JACKS (NPI 1245185917) is an individual emergency provider in Davenport, Iowa, licensed in Iowa (441908) and active in the NPI registry since February 2026.
NPPES Registry Identity
NPI1245185917
Entity TypeIndividualFemale
Primary Taxonomy163WE0003X
Provider Legal NameTARA MARIE JACKS
Location Address3111 CAREY AVEDavenport, IA 52803-1746
Mailing Address3111 Carey AveDavenport, IA 52803-1746 · (309) 912-5101
Phone(309) 912-5101
Sole ProprietorNo
Enumeration DateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1245185917 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in IA · 441908
3111 CAREY AVE, Davenport, IA 52803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245185917, enumerated as an "individual" on February 27, 2026.
The provider is located at 3111 CAREY AVE DAVENPORT, IA 52803 and the phone number is (309) 912-5101.
Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.
