Provider Demographics
NPI:1861378721
Name:JEPSEN WILCOX, ALLISON (RN, BSN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:JEPSEN WILCOX
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 S 170TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-4319
Mailing Address - Country:US
Mailing Address - Phone:402-332-3643
Mailing Address - Fax:402-332-5867
Practice Address - Street 1:8220 S 170TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-4319
Practice Address - Country:US
Practice Address - Phone:402-332-3643
Practice Address - Fax:402-332-5867
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE86601163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool