Individual
NYASHA MALIKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 N 29TH ST APT 206, OMAHA, NE 68111-3838
(531) 215-5488
Mailing address
2120 N 29TH ST APT 206, OMAHA, NE 68111-3838
(531) 215-5488
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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