Individual
JESSICA JO FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 W 14TH AVE, STE 100, HOLDREGE, NE 68949-1216
(308) 995-4431
(308) 995-3247
Mailing address
516 W 14TH AVE, STE 100, HOLDREGE, NE 68949-1216
(308) 995-4431
(308) 995-3247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23342
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00063
BCBS
NE
Enumeration date
09/16/2006
Last updated
03/18/2008
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