When Standard Care Hasn’t Worked For You
We are your partners in treating chronic
skin, airway, gut, and immune conditions.
Same-day appointments available for sinus infections, new rashes, and other common illnesses.
Transforming your healthcare by taking the time to listen.
Alexandra Jansen, ARNP & Laura Jetter, ARNP
Specialty Care
Expert care for eczema, hives, asthma, COPD, chronic cough, EoE and more…
Located in the growing community of Cumming, Iowa.
Our care is right for you if:
- You’ve seen multiple providers but still don’t have answers
- Your symptoms improve briefly, then return
- You have more than one issue (skin, breathing, or digestive)
- You want care that looks at the whole picture
Veteran owned
Expertly Trained
Holistic Approach
Patient Centered
Your Solution
Our care philosophy is simple: treat patients like family. Alexandra and Laura work tirelessly to find answers – even when the path isn’t straightforward.
You deserve the same thoughtful, high-quality care we would want for our own families- and that is exactly what we deliver.
The Monarch Experience
★★★★★ Rated 5 out of 5
“They are truly the best of the best. What a difference it is, to have someone completely listen and give you that one on one heartfelt care...”
-J.H.
★★★★★ Rated 5 out of 5
"I highly recommend these two healthcare providers! There are not many places that give me a sense of wellbeing, but this is one of them."
-J.T.
★★★★★ Rated 5 out of 5
“Alexandra and Laura are knowledgeable, kind and caring. All of our questions and concerns were addressed to give us the peace of mind we needed, and we trust in them to keep our family well."
-L.L