Individual
JESSICA TIPPERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN- NP
Contact information
Practice address
11949 Q ST, OMAHA, NE 68137-3503
(402) 595-1326
Mailing address
11949 Q STREET, OMAHA, NE 68137
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
112247
NE
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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