SearchNebraska3747P1801X

Jackson Creek

NPI 1053114322 · on the registry since 2025

Practice

Address
15800 Summit Plz
Bennington, NE 68007
Phone
(531) 299-3040
Clinicians at this address
7

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska