Individual
JODY ANN HERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
111 KINGS WAY, NORFOLK, NE 68701-3301
(402) 992-1785
Mailing address
111 KINGS WAY, NORFOLK, NE 68701-3301
(402) 992-1785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112806
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112806
STATE OF NEBRASKA
NE
Enumeration date
07/01/2019
Last updated
07/01/2019
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