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Individual

JACQUIE MONTAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2301 N 117TH AVE, SUITE 202, OMAHA, NE 68164-3483
(402) 431-4711
(402) 431-0361
Mailing address
2301 N 117TH AVE, SUITE 202, OMAHA, NE 68164-3483
(402) 431-4711
(402) 431-0361

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
48090
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48090
LICENSE
NE
Enumeration date
12/20/2006
Last updated
12/01/2011
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