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Individual

JACLYN BEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 212-7109
Mailing address
1416 S 54TH ST, OMAHA, NE 68106-2312
(402) 212-7109

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
115965
NE

Other

Enumeration date
04/30/2025
Last updated
07/02/2025
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