Doctor Name: | JESSICA GERING |
NPI Number: | 1033581509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 111915 |
Business Practice Address: | 10701 S 72nd St Ste 100 Papillion, NE - 680463427 |
Business Phone Number: | 4028279400 |
Business Fax Number: | 4028279405 |
Mailing Address: | 10701 S 72nd St, Ste 100 PAPILLION |
State: | NE |
Postal Code: | 680463427 |
Phone Number: | 4028279400 |
Fax Number: | 4028279405 |
NPI Enumeration Date: | 10/23/2015 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 111915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |