JENNA M. MATLOCK

OMAHA, NE
NPI1215540026
Former NameJENNA M. PROVANCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  2545)
Additional Taxonomies363A00000X Physician Assistant
363AM0700X Physician Assistant Medical
Enumeration Date2020-08-31
Last Update Date2020-11-24
Business Address
JENNA M. MATLOCK PA-C
7100 W CENTER RD
OMAHA, NE 68106-2714
Phone number: 402-506-9000
Mailing Address
JENNA M. MATLOCK PA-C
7100 W CENTER RD
OMAHA, NE 68106-2714
Phone number: 402-506-9000