Search › Nebraska › 363LF0000X
Justin Nissen, APRN
NPI 1427568393 · on the registry since 2017
Practice
- Address
- 4840 Dodge St
Omaha, NE 68132 - Phone
- (402) 558-2000
- Organisation at this address
- Nebraska Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-23
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