Individual
COURTNEY MEYER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4220 L ST, OMAHA, NE 68107-1048
(402) 733-4433
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
114903
NE
Other
Enumeration date
07/18/2023
Last updated
11/13/2023
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