Healthcare Provider Details

I. General information

NPI: 1720966039
Provider Name (Legal Business Name): JENNIFER ANNE KRAMER SLP
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: JENNIFER ANNE CLARK SLP

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 PRAIRIE RIM RD
LINCOLN NE
68526-9372
US

IV. Provider business mailing address

PO BOX 5285
GRAND ISLAND NE
68802-5285
US

V. Phone/Fax

Practice location:
  • Phone: 24-432-4324
  • Fax:
Mailing address:
  • Phone: 308-675-1853
  • Fax: 308-210-4121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: