Individual
JACKIE KAY ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN APRN
Contact information
Practice address
220 LYNCREST DR, LINCOLN, NE 68510-2229
(402) 434-3370
(402) 489-0731
Mailing address
220 LYNCREST DR, LINCOLN, NE 68510-2229
(402) 434-3370
(402) 489-0731
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
110259
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055126013
—
NE
Enumeration date
09/15/2005
Last updated
09/29/2010
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