Individual
JESSICA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 S 84TH ST, OMAHA, NE 68124-3215
(402) 871-6767
Mailing address
20008 FAIRVIEW RD, GRETNA, NE 68028-6212
(402) 871-6767
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23584
NE
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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