Individual
JESSICA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1530
(400) 235-4153
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.011892
OH
207RI0200X
Infectious Disease Physician
Primary
26577
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720299704
—
IA
05
—
47068731742
—
NE
Enumeration date
05/24/2007
Last updated
01/03/2014
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