Healthcare Provider Details

I. General information

NPI: 1932037025
Provider Name (Legal Business Name): JAMIE SCHWANKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5321 HIGH ST
LINCOLN NE
68506-3493
US

IV. Provider business mailing address

5321 HIGH ST
LINCOLN NE
68506-3493
US

V. Phone/Fax

Practice location:
  • Phone: 402-217-4364
  • Fax:
Mailing address:
  • Phone: 402-217-4364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: