Individual
JOLI HALLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
717 N 190TH PLZ, STE. 3100, ELKHORN, NE 68022-3913
(402) 815-1325
(402) 815-2020
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1985
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025837400
—
NE
05
—
10026480100
—
NE
05
—
47068731742
—
NE
Enumeration date
01/26/2016
Last updated
03/06/2019
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