MEDICARE: J.P. LEE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	10101	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528496767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J.P. LEE, LLC

Provider Business Mailing Address
First Line	:	425 N OAK ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-3764
Country	:	US
Telephone Number	:	308-532-8300
Fax Number	:	308-532-4629

Provider Business Practice Location Address
First Line	:	425 N OAK ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-3764
Country	:	US
Telephone Number	:	308-532-8300
Fax Number	:	308-532-4629

Authorized Official
Title or Position	:	PROVISIONAL
Name	:	WENDY L HAGEMAN
Credential	:	PLMHP
Telephone Number	:	308-532-8300

Provider Enumeration Date	:	10/25/2013
Last Update Date	:	10/25/2013

Similar Medicare Providers

1376664516 — J.P. LEE, LLC
Practice Location Address:

421 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax: 308-532-4329

1740481738 — KIM GAY SPARGO LADC
Practice Location Address:

425 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax:

1225263882 — PATTY K WILSON LMHP
Practice Location Address:

425 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax: 308-532-4629

1396040556 — BRANDY BOGU P-960
Practice Location Address:

425 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax:

1629594213 — SARAH'S HOMECARE AGENCY LLC
Practice Location Address:

17017 W DIXIE HWY # 111
NORTH MIAMI BEACH, FL
33160-3764

Practice Phone: 786-565-8498
Practice Fax: 646-517-8402

1194364810 — JESSICA L HUFF PHARMD
Practice Location Address:

545 PINE ISLAND RD
NORTH FORT MYERS, FL
33903-3764

Practice Phone: 239-997-3131
Practice Fax: 239-997-2244

Directions to “J.P. LEE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.