Individual
MOLLY R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6140
(402) 955-3398
Mailing address
PO BOX 24607, OMAHA, NE 68124-0607
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
114256
NE
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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