Individual
JACQUELINE G GAFFNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2802 OAK VIEW DRIVE, OMAHA, NE 68144-5604
(402) 334-7546
(402) 334-8627
Mailing address
2802 OAK VIEW DRIVE, OMAHA, NE 68144-5604
(402) 334-7546
(402) 334-8627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001095
IA
363A00000X
Physician Assistant
Primary
622
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04011
WELLMARK BCBS
IA
01
—
37752
BCBS NE
NE
01
—
96817
WELLMARK BCBS
NE
01
—
I7690
IOWA MEDICARE
IA
Enumeration date
07/07/2005
Last updated
11/22/2022
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