Individual
JACKI STUBBENDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1430 EDUCATION DR., SYRACUSE, NE 68446-0520
(402) 269-2388
(402) 269-2402
Mailing address
1430 EDUCATION DR., PO BOX P, SYRACUSE, NE 68446-0520
(402) 269-2388
(402) 269-2402
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
62271
NE
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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