Organization
ABBIE ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBIE JO CARPENTER PMHNP (OWNER)
(402) 340-1210
Entity
Organization
Contact information
Practice address
614 N 4TH ST STE 104, ONEILL, NE 68763-1317
(402) 340-1210
Mailing address
614 N 4TH ST STE 104, ONEILL, NE 68763-1317
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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