Phelps, Jill A
Phelps, Jill A is an individual health care provider with primary practice located at 4951 Center St Suite 200, Omaha NE 68106-3252. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phelps, Jill A can be contacted via phone (402) 558-2500.Contact Information
Primary practice address
4951 Center St Suite 200
Omaha NE 68106-3252
Phone: (402) 558-2500
Fax: (402) 558-5522
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 110261 | Nebraska |
Profile Details
NPI number | 1063461184 |
---|---|
LBN Legal business name | Phelps, Jill A |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2006 |
Last updated | Mar 30th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063461184 | NPPES |
Nebraska | MEDICAID | 10026287600 |
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