Individual
LYNETTE M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7837 KING ST, OMAHA, NE 68122-1421
(402) 612-9363
(402) 451-8694
Mailing address
7837 KING ST, OMAHA, NE 68122-1421
(402) 612-9363
(402) 451-8964
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
372600000X
Adult Companion
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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