Oden, Jackie Kay

Oden, Jackie Kay is an individual health care provider with primary practice located at 220 Lyncrest Dr , Lincoln NE 68510-2229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Oden, Jackie Kay can be contacted via phone (402) 434-3370.

Contact Information

Primary practice address
220 Lyncrest Dr Lincoln NE 68510-2229
Fax: (402) 489-0731
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 110259 Nebraska

Profile Details

NPI number 1427043397
LBN Legal business name Oden, Jackie Kay
Credentials RN APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Sep 29th, 2010 - about 15 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 1427043397 NPPES
Nebraska MEDICAID 47055126013

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