Healthcare Provider Details

I. General information

NPI: 1982861589
Provider Name (Legal Business Name): JODI MARIE FUEHRER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 VILLAGE DR
LINCOLN NE
68516-5362
US

IV. Provider business mailing address

3510 VILLAGE DR
LINCOLN NE
68516-5362
US

V. Phone/Fax

Practice location:
  • Phone: 402-937-1920
  • Fax: 402-937-1195
Mailing address:
  • Phone: 402-937-1920
  • Fax: 402-937-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110938
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number110938
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number110938
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number46535
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: