Individual
JACQUELINE WAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11404 W DODGE RD STE 600, OMAHA, NE 68154-2593
(616) 490-0281
Mailing address
1006 N 49TH AVE APT 1, OMAHA, NE 68132-1550
(616) 490-0281
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
113530
NE
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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