Individual
JESSICA SUE NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5342
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
74900
NE
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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