Individual
JONATHAN BRENT VAN SCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
11404 W DODGE RD STE 300, OMAHA, NE 68154-9603
(402) 898-1113
Mailing address
11404 W DODGE RD STE 300, OMAHA, NE 68154-9603
(402) 898-1113
(833) 764-4594
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
116270
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G186574
IA
Other
Enumeration date
08/28/2025
Last updated
01/07/2026
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