Organization · Type 2 NPI
Quad Cities Ketamine Clinic
Nurse Practitioner · Davenport, IA
Practice location
4622 Progress Dr Ste A
Davenport, IA 52807-3426
Fax (563) 293-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
4 other providers at this address
- Quad Cities Integrative WellnessSocial Worker Davenport, IA NPI 1659222313
- Christine S. Harrison, LISWClinical Social Worker Davenport, IA NPI 1548301039
- Melody L. Mosenfelder, DCChiropractor Davenport, IA NPI 1104188861
- Ross Van AllenPsychiatric/Mental Health Nurse Practitioner Davenport, IA NPI 1023727567
Other nurse practitioner providers in Davenport
About NPI 1629781935
Quad Cities Ketamine Clinic's National Provider Identifier is 1629781935, issued on Jan 2, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Davenport, IA. The record was last updated on Oct 13, 2026.