Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 100712 | NE |
NPI | 1235118506 |
---|---|
Provider Name | Ms. Janet R Jones |
First Address | Omaha, NE 68154-2642 |
Second Address | Omaha, NE 68154-2642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80081 | BLUE CROSS BLUE SHIELD (01) | NE |
S57359 | (02) |