Individual
BRIANNA JEAN JACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7197 PINE ST, OMAHA, NE 68106-2811
(402) 216-4906
Mailing address
7197 PINE ST, OMAHA, NE 68106-2811
(402) 216-4906
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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