Lupo, Jessica Miranda
Lupo, Jessica Miranda is an individual health care provider with primary practice located at 615 Piedmont Dr , Omaha NE 68154-2731. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lupo, Jessica Miranda can be contacted via phone (402) 715-1390.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Nebraska |
Profile Details
| NPI number | 1639334410 |
|---|---|
| LBN Legal business name | Lupo, Jessica Miranda |
| Credentials | EDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Nov 14th, 2025 - about last year |
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 | 1639334410 | NPPES |
| Kansas | Other | 100098080C | SED WAIVER |
| Kansas | MEDICAID | 100098080A | SED WAIVER |
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