Individual
JESSICA REYNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2323 S 171ST ST STE 100A, OMAHA, NE 68130-4651
(531) 710-4063
(531) 721-2946
Mailing address
2323 S 171ST ST STE 100, OMAHA, NE 68130-4651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2766
NE
Other
Enumeration date
06/09/2022
Last updated
10/08/2025
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