| Doctor Name: | JACQUELINE MARIA SELLNER |
| NPI Number: | 1003213430 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | F1114234 |
| Business Practice Address: | 13609 California Street, Suite 200 C/o Aureus Medical Group Omaha, NE - 68154 |
| Business Phone Number: | 8008566385 |
| Business Fax Number: | |
| Mailing Address: | 13609 California Street, Suite 200, C/o Aureus Medical Group OMAHA |
| State: | NE |
| Postal Code: | 68154 |
| Phone Number: | 8008566385 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2014 |
| NPI Last Update Date: | 07/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F1114234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |