Healthcare Provider Details

I. General information

NPI: 1164306189
Provider Name (Legal Business Name): JACLYN BUHRMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 GALVIN RD S STE 102
BELLEVUE NE
68005-2255
US

IV. Provider business mailing address

701 GALVIN RD S STE 102
BELLEVUE NE
68005-2255
US

V. Phone/Fax

Practice location:
  • Phone: 402-917-8225
  • Fax:
Mailing address:
  • Phone: 402-917-8225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: