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Individual

JILL J LOSHONKOHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3000 2ND AVE, SUITE 204, KEARNEY, NE 68847-3507
(308) 455-3435
(308) 455-3437
Mailing address
3000 2ND AVE, SUITE 204, KEARNEY, NE 68847-3507
(308) 455-3435
(308) 455-3437

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111428
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025598700
NE
Enumeration date
09/28/2012
Last updated
05/15/2015
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