Provider Demographics
NPI:1992930655
Name:WEDDINGTON, JESSICA LYNN (PLMHP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYNN
Last Name:WEDDINGTON
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 M ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68154
Mailing Address - Country:US
Mailing Address - Phone:402-476-0040
Mailing Address - Fax:402-477-0081
Practice Address - Street 1:825 M ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68154
Practice Address - Country:US
Practice Address - Phone:402-476-0040
Practice Address - Fax:402-477-0081
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health