Individual
JENNIFER LEE CREPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14591 STONEY BROOK BLVD, OMAHA, NE 68137-2617
(888) 333-7520
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(888) 333-7520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2255
NE
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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