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NPI Code Detail

MEDICARE: JENNIFER LYNN BOLLICH

MEDICARE:   JENNIFER LYNN BOLLICH
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1881407856
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN BOLLICH
Provider Business Mailing Address
First Line : 306 W MAIN ST
Second Line :
City : BLOOMFIELD
State : NE
Zip : 68718-4035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 306 W MAIN ST
Second Line :
City : BLOOMFIELD
State : NE
Zip : 68718-4035
Country : US
Telephone Number : 402-373-4358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2025
Last Update Date : 01/31/2025

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Directions to “ JENNIFER LYNN BOLLICH ” Practice Location

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