Individual provider · Type 1 NPI
Jacqueline Ray Mendoza
General Practice Registered Nurse · Lincoln, NE
NPI number
1164314670
Active
Practice location
420 Victory Park Dr
Lincoln, NE 68510-2484
Fax (612) 725-1308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 44437 (NE) |
General Practice Registered Nurse: Definition to come...
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About NPI 1164314670
Jacqueline Ray Mendoza's National Provider Identifier is 1164314670, issued on Jul 18, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lincoln, NE. The record was last updated on Jul 21, 2025.