Individual
JODI M KINTZLE-WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4920 SO 30TH STREET, SUITE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 734-3990
Mailing address
4920 SO 30TH STREET, SUITE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 734-3990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110903
NE
Other
Enumeration date
11/16/2007
Last updated
06/09/2014
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