Whalio Doctors

NPI 1467056580

Jasmine Renae Luckow

Practitioner Peer Specialist South Sioux City, NE

Practice location

Address
1201 Arbor Drive, South Sioux City, NE 68776-2652
Phone
(402) 494-3337
Mailing address
PO Box 355, South Sioux City, NE 68776-0355

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X

Registry record

NPI
1467056580
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Nov 2020
Record last updated
9 Apr 2024

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.