Individual
JESSALYN K WEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 717-4866
(402) 398-5709
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
67459
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101909
NE
367500000X
Certified Registered Nurse Anesthetist
D183077
IA
Other
Enumeration date
12/09/2024
Last updated
02/05/2025
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