SearchNebraska253Z00000X

Jeramiah Stovall

NPI 1922803030 · on the registry since 2025 · sole proprietor

Practice

Address
2832 Ponca St
Lincoln, NE 68506
Phone
(402) 612-8130

Additional practice sites

  • 2832 Ponca St, Lincoln, NE

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-14

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