Individual provider · Type 1 NPI

Jaci Rae Dietz

Physician Assistant · Kearney, NE

NPI number 1063258788 Active

Practice location

816 22nd Ave Ste 100
Kearney, NE 68845-2226

Call (308) 865-2263 Map

Fax (308) 865-2541

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3364 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063258788

Jaci Rae Dietz's National Provider Identifier is 1063258788, issued on Jul 2, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kearney, NE. The record was last updated on Aug 20, 2026.