Individual
JESSICA ANN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2101 BOX BUTTE AVE STE 700, ALLIANCE, NE 69301-4445
(308) 762-7244
Mailing address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301-4444
(308) 762-6660
(308) 762-6657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28787
NE
207Q00000X
Family Medicine Physician
28787
NH
Other
Enumeration date
06/25/2012
Last updated
04/20/2021
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