Individual
JENNA LERAE WELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 552-2000
Mailing address
6514 S 167TH AVE, OMAHA, NE 68135-5403
(402) 238-4879
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
115504
NE
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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