Individual
COURTNEY BRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(855) 524-4001
(402) 398-5589
Mailing address
7500 MERCY RD, OMAHA, NE 68124-2319
(855) 524-4001
(402) 398-5589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
118085
IA
363A00000X
Physician Assistant
Primary
2881
NE
Other
Enumeration date
02/07/2023
Last updated
04/14/2023
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