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Individual

JACKIE L KUCHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP FNP-C BC-ADM

Contact information

Practice address
6901 S 84TH ST, LA VISTA, NE 68128-2127
(866) 389-2727
Mailing address
2800 FLATWATER DR APT 203, SOUTH SIOUX CITY, NE 68776-5484
(712) 635-8685
(402) 944-1450

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112433
NE
363LF0000X
Family Nurse Practitioner
A145171
IA

Other

Enumeration date
03/06/2018
Last updated
08/29/2025
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