Individual
MRS. JENNIFER MARIE THIELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
801 HARMONY ST STE 202, COUNCIL BLUFFS, IA 51503-3106
(712) 308-1563
Mailing address
11284 NORTHRIDGE DR, GRETNA, NE 68028-6905
(402) 332-5053
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
111382
NE
Other
Enumeration date
08/20/2012
Last updated
02/15/2013
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