Individual
JACKIE LYNN EK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1000
Mailing address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44839
WY
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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