Individual
JESSICA LYNN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
5566 S 56TH ST, LINCOLN, NE 68516-1834
(402) 423-3839
Mailing address
5566 S 56TH ST, LINCOLN, NE 68516-1834
(402) 423-3839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
111512
NE
363LF0000X
Family Nurse Practitioner
Primary
1909
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47056474312
—
NE
Enumeration date
06/19/2013
Last updated
05/03/2018
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