Healthcare Provider Details

I. General information

NPI: 1851302830
Provider Name (Legal Business Name): JENNIFER L FEHRINGER P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 OSBORNE DR W 100
HASTINGS NE
68901-9112
US

IV. Provider business mailing address

2207 OSBORNE DR W 100
HASTINGS NE
68901-9112
US

V. Phone/Fax

Practice location:
  • Phone: 402-462-2139
  • Fax: 402-462-2381
Mailing address:
  • Phone: 402-462-2139
  • Fax: 402-462-2381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1196
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: