Individual
MS. JENNIFER MARIE AXT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
2300 W CAPITAL AVE, GRAND ISLAND, NE 68803-2003
(308) 385-6252
(308) 385-5683
Mailing address
2300 W CAPITAL AVE, GRAND ISLAND, NE 68803-2003
(308) 385-6252
(308) 385-5683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110664
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00159863
PALMENTO D/B/A RR MEDICAR
NE
Enumeration date
07/07/2005
Last updated
03/07/2023
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