Individual
BREANA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 S 67TH CT APT 30, OMAHA, NE 68106-4250
(531) 361-7261
Mailing address
4060 VINTON ST STE 100, OMAHA, NE 68105-3863
(402) 991-9880
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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