Individual
MS. JACKIE A THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-4000
(402) 354-8735
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110133
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619088150
—
IA
05
—
47037660412
—
NE
05
—
47037660432
—
NE
Enumeration date
08/31/2006
Last updated
12/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us