Healthcare Provider Details
I. General information
NPI: 1144101031
Provider Name (Legal Business Name): JENNIFER JEAN SLAPNICKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4401 S 27TH ST APT A10
LINCOLN NE
68512-1301
US
IV. Provider business mailing address
4401 S 27TH ST APT A10
LINCOLN NE
68512-1301
US
V. Phone/Fax
- Phone: 402-399-8888
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| License Number | 28280 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: