Individual
JEAN INGWERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
988 N 6TH ST, DAVID CITY, NE 68632-1310
(402) 367-3732
Mailing address
988 N 6TH ST, DAVID CITY, NE 68632-1310
(402) 367-3732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5605
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355090328
—
NE
Enumeration date
11/03/2014
Last updated
11/03/2014
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