Healthcare Provider Details

I. General information

NPI: 1649137365
Provider Name (Legal Business Name): JILLIAN JENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 N FIRST ST
COOK NE
68329-7729
US

IV. Provider business mailing address

608 2ND ST
TALMAGE NE
68448-3235
US

V. Phone/Fax

Practice location:
  • Phone: 402-864-4181
  • Fax: 402-335-3346
Mailing address:
  • Phone: 402-802-2142
  • Fax: 402-802-2142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number67138
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: