Individual
JILLIAN VANECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10818 ELM ST, OMAHA, NE 68144-4820
(402) 502-0617
Mailing address
5930 S 58TH ST STE W, LINCOLN, NE 68516-3653
(402) 423-6402
(402) 423-6422
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
76147
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76147
REGISTERED NURSE LICENSE
NE
Enumeration date
09/22/2022
Last updated
09/22/2022
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