Healthcare Provider Details

I. General information

NPI: 1851332035
Provider Name (Legal Business Name): UNIVERSITY OF NEBRASKA BOARD OF REGENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 12/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203A BARKLEY MEMORIAL CENTER
LINCOLN NE
68583-0731
US

IV. Provider business mailing address

203A BARKLEY MEMORIAL CENTER
LINCOLN NE
68583-0731
US

V. Phone/Fax

Practice location:
  • Phone: 402-472-2071
  • Fax: 402-472-3814
Mailing address:
  • Phone: 402-472-2071
  • Fax: 402-472-3814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERRI J JONES
Title or Position: DIRECTOR
Credential: PHD
Phone: 402-472-5496