Healthcare Provider Details

I. General information

NPI: 1912829169
Provider Name (Legal Business Name): JANELL L GARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 OAK ST APT 1
BANCROFT NE
68004-4012
US

IV. Provider business mailing address

602 OAK ST APT 1
BANCROFT NE
68004
US

V. Phone/Fax

Practice location:
  • Phone: 402-750-7988
  • Fax:
Mailing address:
  • Phone: 402-750-7988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number193400000X
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: