Individual
MS. JACQUELINE MARYMEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1354
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110564
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068731711
—
NE
05
—
47068731762
—
NE
Enumeration date
08/25/2006
Last updated
11/30/2007
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