Individual
JACIE RAE COUPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 BLACK HILLS AVE, ALLIANCE, NE 69301-3209
(308) 762-1970
Mailing address
PO BOX 247, ALLIANCE, NE 69301-0247
(308) 762-1970
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NE
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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