Individual
JESSICA A KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7101 NEWPORT AVE, OMAHA, NE 68152-2164
(402) 572-2916
(402) 572-3258
Mailing address
7261 MERCY RD., OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3672
NE
103T00000X
Psychologist
Primary
857
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
01/28/2010
Last updated
06/21/2017
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