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General NPI Number Information
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NPI Number | 1912861329
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Entity Type | Organization
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Legal Business Name | JG PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3423 2ND AVE STE 3
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City | KEARNEY
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State | NE
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Zip | 68847-2947
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Country | US
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Telephone | 308-251-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 7 OAK LN
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City | KEARNEY
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State | NE
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Zip | 68845-7605
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Country | US
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Telephone | 308-289-1026
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. JESSICA GROSSNICKLAUS
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Credential | PSYD
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Telephone | 308-289-1026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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