Jacob L Creevan, PA-C

NPI #1073247748 in Lincoln, Nebraska

Provider Information

NPI Number: 1073247748
Entity Type: Individual
Name: Jacob L Creevan, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 10, 2022
Last Updated: Aug 1, 2022

Practice Location

Address: 5500 PINE LAKE RD
City: Lincoln
State: Nebraska
ZIP Code: 68516-3389
Phone: (402) 489-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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