Jones, Lisa

Jones, Lisa is an individual health care provider with primary practice located at 9100 Andermatt Drive Suite 1 , Lincoln NE 68526-0000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jones, Lisa can be contacted via phone (402) 434-2730.

Contact Information

Primary practice address
9100 Andermatt Drive Suite 1 Lincoln NE 68526-0000
Fax: (402) 434-3970
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X NE 486 Nebraska

Profile Details

NPI number 1306823422
LBN Legal business name Jones, Lisa
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Nov 11th, 2021 - about 3 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 1306823422 NPPES
Nebraska Other 11657272 CAQH PROVIDER ID
Nebraska Other NA3283003 CAQH PROVIDER ID
Nebraska Other P02109644 CAQH PROVIDER ID
Nebraska MEDICAID 10026721201 CAQH PROVIDER ID

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