Individual
JACOB L CREEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
(402) 421-1945
Mailing address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
(402) 421-1945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2777
NE
Other
Enumeration date
07/10/2022
Last updated
08/01/2022
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