Our Team

Susan Cross, ARNP, MSN, FNP-BC

Susan has been an advanced registered nurse practitioner in family medicine since 1998 and a full-time nurse for more than 30 years. Her multi-disciplinary clinical expertise includes the medical specialties of otorhinolaryngology, facial plastic surgery, dermatology, and endocrinology.

Susan’s nursing career began in 1978 at the Wolfe Clinic in Marshalltown. Completing her family nurse practitioner certification in 1998, she joined the endocrinology/adult medicine team at McFarland Clinic in Ames. She worked in their acute care walk-in clinic, where she provided primary care history and physicals, diabetes management within ADA guidelines, and lipid clinic within AHA-NCEP III guidelines. For her last six years with McFarland Clinic, she worked in dermatology and medical and cosmetic skin care utilizing their Excimer®, Lightsheer®, and phototherapy lasers.


In 2008, Susan joined Kathy Cook, MD, part time in her private dermatology practice in Ames. She provided medical and cosmetic dermatology services, referrals, and coordination of care for Moh’s procedures: IPL, Fractional CO2, Lightsheer®, and Isolaz® laser treatments. She dispensed SkinMedica® and Obagi® medical skin care and provided peels, BOTOX®, and filler treatments.

In 2010, Susan opened Urban Effects MedSpa in Des Moines.

Alice Doolittle, RN

Alice graduated from Southwestern Community College of Nursing in 1984. She began her nursing career at Ringgold County Hospital in Mount Ayr. She joined McFarland Clinic in 1989, working in orthopedic department until 1994. She continued her clinical experience in dermatology as a department manager through 2004, when she transitioned to become the first assistant in general surgery.

Alice joined Dr. Kathy Cook in her private dermatology practice as nurse manager in 2009. She joined Urban Effects MedSpa in 2013, working in medical dermatology, BBL®, Forever Young BBL®, skin tightening, and acne treatments. She provides client coaching for Urban Effects medically directed ITG weight loss program.


Jessica Smith, L.E.

Licensed Esthetician
Jessica Smith has been in the beauty and medical industry for more than 20 years. Starting out as a makeup artist, she quickly realized this was a passion she wanted to pursue. She earned her esthetician license in 2008 after graduating from Iowa School of Beauty.

Jessica has extensive knowledge of skin care products and medical spa services. Jessica joined Urban Effects MedSpa in January 2018. She assists clients with scheduling appointments, medical-grade product education, makeup artistry, and other esthetic services provided at Urban Effects for maintaining youthful, healthy skin. In her spare time, Jessica enjoys spending time with her family and dabbling in photography.

Jessica's headshot