Individual
JACQUELYN COENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
312 OLSON DR STE 101, PAPILLION, NE 68046-2981
(402) 933-6300
Mailing address
2905 N 152ND AVE, OMAHA, NE 68116-8136
(402) 981-0791
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113582
NE
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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