Individual
JILL RENAE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 559-9228
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113092
NE
Other
Enumeration date
04/06/2020
Last updated
11/27/2023
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