Individual
JENNA L PRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8720 FREDERICK ST STE 100, OMAHA, NE 68124-3071
(402) 397-0700
(402) 397-1807
Mailing address
8720 FREDERICK ST STE 100, OMAHA, NE 68124-3071
(402) 397-0700
(402) 397-1807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1439
NE
Other
Enumeration date
04/17/2009
Last updated
05/07/2025
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