Individual
TERRY JEPSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
323 N 7TH AVE, BROKEN BOW, NE 68822-1718
(308) 872-2475
(308) 872-2751
Mailing address
323 N 7TH AVE, BROKEN BOW, NE 68822-1718
(308) 872-2475
(308) 872-2751
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
18492
NE
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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