Individual
JODY A PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
982035 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2035
(402) 559-9604
(402) 559-7779
Mailing address
982035 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2035
(402) 559-9604
(402) 559-7779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110587
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37664
BCBSN
NE
Enumeration date
10/25/2006
Last updated
10/29/2012
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