| NPI | 1669078382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA JONES Office Manager 402-850-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |