Healthcare Provider Details

I. General information

NPI: 1396680542
Provider Name (Legal Business Name): KIERRA HUEBNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E FRANCIS ST
NORTH PLATTE NE
69101-6796
US

IV. Provider business mailing address

600 E FRANCIS ST
NORTH PLATTE NE
69101-6796
US

V. Phone/Fax

Practice location:
  • Phone: 308-252-1447
  • Fax:
Mailing address:
  • Phone: 308-252-1447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number117122
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: