Individual
JESSICA LAVON PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17404 BURKE ST STE 102, OMAHA, NE 68118-2242
(531) 466-4260
(531) 466-4304
Mailing address
17404 BURKE ST STE 102, OMAHA, NE 68118-2242
(531) 466-4260
(531) 466-4304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
116920
IA
363A00000X
Physician Assistant
Primary
2907
NE
Other
Enumeration date
08/26/2022
Last updated
09/23/2025
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