Individual
JESSICA ANN OLTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7621 AZALEA PL, LINCOLN, NE 68516-5678
(402) 617-7775
Mailing address
7621 AZALEA PL, LINCOLN, NE 68516-5678
(402) 617-7775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22087
NE
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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