# JESSICA M BENTZEN PROFESSIONAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205267978
- **Authorized official:** JESSICA M BENTZEN NP (APRN)
- **Authorized official phone:** (402) 614-0010

## Contact information

- **Practice address:** 8045 L ST, SUITE 4, OMAHA, NE 68127-1745
- **Practice address phone:** (402) 614-0010
- **Mailing address:** 8045 L ST, SUITE 4, OMAHA, NE 68127-1745
- **Mailing address phone:** (402) 614-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 111393 | NE | Yes |

## Other

- **Enumeration date:** 12/06/2013
- **Last updated:** 06/23/2015