NPI 1306635081

Jerecia Devereaux

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Omaha, NE

Practice location

Address: 2342 N 67th Ave, Omaha, NE 68104-3932
Phone: (346) 716-2528

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Nebraska →

Registry record

NPI: 1306635081
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2025
Record last updated: 1 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.