Individual
MELISSA PRICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
(402) 934-5228
Mailing address
4608 N 188TH ST, ELKHORN, NE 68022-1243
(402) 304-9069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
112952
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112952
STATE BOARD OF NURSING
NE
Enumeration date
09/11/2019
Last updated
11/10/2025
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