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Individual

DR. JED R HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-C

Contact information

Practice address
8141 W CENTER RD STE 200, OMAHA, NE 68124-3273
(402) 717-3000
(402) 717-3030
Mailing address
15280 CUMING ST # NE68154, OMAHA, NE 68154-1846
(402) 686-0564

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
75867
NE
363LF0000X
Family Nurse Practitioner
Primary
113789
NE

Other

Enumeration date
08/30/2021
Last updated
09/08/2021
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