Organization
MOONSTONE PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY EMEIGH APRN (PMHNP-BC)
(402) 624-4287
Entity
Organization
Contact information
Practice address
3883 NORMAL BLVD STE 204, LINCOLN, NE 68506-5218
(402) 624-4287
(402) 702-1551
Mailing address
3883 NORMAL BLVD STE 204, LINCOLN, NE 68506-5218
(402) 624-4287
(402) 702-1561
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027783000
—
NE
Enumeration date
07/17/2023
Last updated
08/22/2024
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