MEDICARE: JENNIFER BUTCHER

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1528906997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BUTCHER

Provider Business Mailing Address
First Line	:	2001 GREEN ACRES BLVD
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68522-1807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2845 JACS LN
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68523-1005
Country	:	US
Telephone Number	:	559-709-4279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/25/2026

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Directions to “ JENNIFER BUTCHER ” Practice Location

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