Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LAVON PRESCOTT
Active Sole ProprietorJESSICA LAVON PRESCOTT is a Physician Assistant healthcare provider located in OMAHA, Nebraska. NPI 1790404168 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OMAHA, NE
Registration Details
- NPI Number
- 1790404168
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2022 (3.9633047135134 yrs)
- Last Updated
- Sep 23, 2025
- Licenses
-
116920 (IA)2907 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17404 BURKE ST STE 102OMAHA, NE, 681182242Browse NE providers · Browse ZIP 68118
- Phone
- 5314664260
- Fax
- 5314664304
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| JOHN BECKENHAUER | PA-C | 1811991789 |
| MR. JAMES ANTHONY KRAHLING | PA-C | 1699779264 |
| TAMARA A DOLPHENS | PA | 1518963644 |
| JACQUELINE G GAFFNEY | PA-C | 1427055334 |
| MRS. MENDY MARIE PETERSON | PA-C | 1205834173 |
| KIMBERLY J DIERKS | P.A.-C | 1750374666 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.