Individual
JILL A PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4951 CENTER ST, SUITE 200, OMAHA, NE 68106-3252
(402) 558-2500
(402) 558-5522
Mailing address
4951 CENTER ST, SUITE 200, OMAHA, NE 68106-3252
(402) 558-2500
(402) 558-5522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110261
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026287600
—
NE
Enumeration date
05/08/2006
Last updated
03/30/2016
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