Individual
JACKIE LYNN ONDRACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3563 PRAIRIEVIEW ST STE 200, GRAND ISLAND, NE 68803-4442
(308) 382-2010
(308) 382-9549
Mailing address
3563 PRAIRIEVIEW ST STE 200, GRAND ISLAND, NE 68803-4442
(308) 382-2010
(308) 382-9549
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113829
NE
Other
Enumeration date
09/09/2021
Last updated
08/12/2022
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