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Jennelea R Montanez, PA
Medical Physician Assistant in Omaha, Nebraska
NPI 1366535049

Jennelea R Montanez is a Medical Physician Assistant based in Omaha, NE and is specialized in Medical. Jennelea R Montanez practices in Omaha, NE and has the professional credentials of PA. The NPI Number for Jennelea R Montanez is 1366535049 and holds a License No. 1192 (Nebraska).

The current practice location address for Jennelea R Montanez is 13616 California St, Omaha, NE and can be reached out via phone at 402-496-0404 and via fax at 402-496-0517.

Location: 13616 California St, Omaha, NE, 68154-5335
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Provider Profile Details
NPI Number
1366535049
Provider Name
Jennelea R Montanez
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
13616 California St, Omaha, NE, 68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1192 01 NE NE LICENSE
institution
Provider Business Practice Location Address Details
Address
13616 California St
City
State
Zip
68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
person
Provider Business Mailing Address Details
Address
13616 California St
City
State
Zip
68154-5335
Phone Number
402-496-0404
Fax Number
402-496-0517
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1192 (Nebraska)
Definition
Definition to come...
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