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Jesse Petty

NPI 1578480471 · on the registry since 2026 · sole proprietor

Practice

Address
1129 S 10th St Apt B
Lincoln, NE 68502
Phone
(402) 310-2415

Registry record

Primary taxonomy
372600000X
372600000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-01

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