Individual
JENNIFER LARA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
14460 W MAPLE RD, OMAHA, NE 68116-5163
(866) 388-2727
Mailing address
14618 M ST, OMAHA, NE 68137-1351
(308) 750-7984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111695
NE
Other
Enumeration date
07/11/2014
Last updated
04/12/2016
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