Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dfas-Jfll/IN

Organization Primary Care Clinic/Center · NPI 1235539750

Dfas-Jfll/IN is a Primary Care Clinic/Center in Bellevue, Nebraska. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

4005 Raynor Pkwy Apt 3316
Bellevue, NE 68123-6110
Phone: (210) 862-0632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1235539750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marina Puentes — Physician Assistant · (210) 862-0632
NPI enumeratedSeptember 3, 2014
Last updated in NPPESSeptember 3, 2014
Mailing address4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123-6110