Organization
JESSICA M BENTZEN PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M BENTZEN NP (APRN)
(402) 614-0010
Entity
Organization
Contact information
Practice address
8045 L ST, SUITE 4, OMAHA, NE 68127-1745
(402) 614-0010
Mailing address
8045 L ST, SUITE 4, OMAHA, NE 68127-1745
(402) 614-0010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111393
NE
Other
Enumeration date
12/06/2013
Last updated
06/23/2015
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