Individual
MRS. JENNIFER MARIE MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
984120 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4120
(402) 559-2958
(402) 559-9003
Mailing address
984120 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4120
(402) 559-2958
(402) 559-9003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1255
NE
Other
Enumeration date
11/04/2007
Last updated
03/12/2013
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