Individual
MRS. JACKIE J SCHANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1800 SYRACUSE AVE, NORFOLK, NE 68701-2458
(402) 371-8780
Mailing address
902 Q RD, WISNER, NE 68791-3562
(402) 380-4569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114219
NE
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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