Healthcare Provider Details

I. General information

NPI: 1376408401
Provider Name (Legal Business Name): DANA JENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 N 27TH ST
LINCOLN NE
68521-1194
US

IV. Provider business mailing address

13277 S 190TH ST
BENNET NE
68317-3024
US

V. Phone/Fax

Practice location:
  • Phone: 402-438-3015
  • Fax:
Mailing address:
  • Phone: 402-416-8677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11880
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: