Individual
JACQUELINE MCDUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6774 WIRT ST, OMAHA, NE 68104-3143
(402) 968-0142
Mailing address
6774 WIRT ST, OMAHA, NE 68104-3143
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112624
NE
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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