Individual
JACQUELINE ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 GINNY AVE APT 50, BELLEVUE, NE 68005-2683
(531) 239-6731
Mailing address
906 GINNY AVE APT 50, BELLEVUE, NE 68005-2683
(531) 239-6731
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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