Individual
JESSALYNN LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4511 N 25TH AVE, OMAHA, NE 68111-2301
(402) 917-4158
Mailing address
5360 N 47TH AVE, OMAHA, NE 68104-1425
(402) 917-1474
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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