Individual
JAQUELYN L TRESEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11111 S 84TH ST, PAPILLION, NE 68046-4122
(402) 343-4328
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
111071
NE
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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