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Individual

AMY JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
1010 N 96TH ST STE 200, OMAHA, NE 68114-2499
(402) 343-4328
Mailing address
518 LINCOLNWAY ST, WOODBINE, IA 51579-1238
(712) 647-2566

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
091673
IA

Other

Enumeration date
01/11/2007
Last updated
07/08/2019
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