Individual
JENNIFER R FLIDER EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 S 48TH ST, SUITE 200, LINCOLN, NE 68506-1276
(402) 488-5600
(402) 488-7649
Mailing address
1500 S 48TH ST, SUITE 200, LINCOLN, NE 68506-1276
(402) 488-5600
(402) 488-7649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1601
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47074354213
—
NE
Enumeration date
08/02/2011
Last updated
07/26/2016
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