Individual
JESSICA ANN WEGENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13809 INDUSTRIAL RD, OMAHA, NE 68137-1117
(480) 208-0418
Mailing address
23514 LAKEVIEW ST, ELKHORN, NE 68022-4381
(402) 669-2705
(402) 932-6878
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720
NE
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
08/15/2009
Last updated
10/04/2023
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