Individual
JESSALYN M BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2010 N 88TH ST, OMAHA, NE 68134-6102
(402) 496-1000
Mailing address
2010 N 88TH ST, OMAHA, NE 68134-6102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71611
NE
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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