Individual
JEANNE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 E 29TH ST, SOUTH SIOUX CITY, NE 68776-3344
(402) 494-1662
(402) 494-1662
Mailing address
PO BOX 83, JACKSON, NE 68743-0083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
55726
NE
163WX0106X
Occupational Health Registered Nurse
Primary
55726
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55726
NURSING LICENSE
NE
Enumeration date
01/30/2018
Last updated
01/30/2018
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