Jackson, Monica N.

Jackson, Monica N. is an individual health care provider with primary practice located at 707 N 190Th Plz , Elkhorn NE 68022-3974. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Jackson, Monica N. can be contacted via phone (402) 815-6428.

Contact Information

Primary practice address
707 N 190Th Plz Elkhorn NE 68022-3974
Phone: (402) 815-6428
Fax: (402) 815-1565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 59897 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 111164 Nebraska

Profile Details

NPI number 1598078297
LBN Legal business name Jackson, Monica N.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2010
Last updated Dec 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598078297 NPPES
Nebraska MEDICAID 10025866100
Nebraska MEDICAID 1598078297
Nebraska Other 111164

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