Individual
JELAYNA STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 R ST, STE 100, LINCOLN, NE 68503-3799
(402) 465-4545
(402) 465-9011
Mailing address
4545 R ST, STE 100, LINCOLN, NE 68503-3799
(402) 465-4545
(402) 465-9011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
75507
NE
363L00000X
Nurse Practitioner
Primary
112102
NE
Other
Enumeration date
06/08/2016
Last updated
08/12/2016
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