Healthcare Provider Details

I. General information

NPI: 1598682403
Provider Name (Legal Business Name): JENNIFER BEED CNA MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 MILLARD AVE
CREIGHTON NE
68729-3909
US

IV. Provider business mailing address

1105 MILLARD AVE
CREIGHTON NE
68729-3909
US

V. Phone/Fax

Practice location:
  • Phone: 402-841-2965
  • Fax:
Mailing address:
  • Phone: 402-841-2965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number102758
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: