Individual
JILL C MCTAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 S 72ND ST, STE 206, OMAHA, NE 68124-1743
(402) 614-2233
(402) 397-5925
Mailing address
PO BOX 8337, OMAHA, NE 68108-0337
(402) 341-2197
(402) 341-8565
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18286
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024951000
—
NE
Enumeration date
04/20/2006
Last updated
03/16/2009
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