Individual
JUDITH LEE-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14605 N 84TH ST, OMAHA, NE 68122-1999
(402) 213-4222
Mailing address
PO BOX 34213, OMAHA, NE 68134-0213
(402) 213-4222
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
NFOCUS-20664
NE
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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