Individual
JILL ANN HAVEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
575 S 70TH ST, SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
Mailing address
575 S 70TH ST, SUITE 200, LINCOLN, NE 68510-2471
(402) 488-1172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1429
NE
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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