Individual
MRS. JESICCA LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3 BISON HOLIDAY DR, MCCOOK, NE 69001
(308) 345-7036
Mailing address
907 E E ST, MC COOK, NE 69001-3848
(424) 202-4680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2391
NE
363A00000X
Physician Assistant
PA10189
TX
Other
Enumeration date
11/19/2015
Last updated
05/30/2023
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