Individual
MR. JASON M GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
5062 S 155TH ST, OMAHA, NE 68137-5040
(402) 810-9494
(402) 810-9498
Mailing address
116 FIRETHORN DR, TREYNOR, IA 51575-5010
(712) 355-1530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-126699
IA
Other
Enumeration date
08/03/2010
Last updated
05/24/2023
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