Individual
JACOB JENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 644-7507
Mailing address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101403
NE
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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