Healthcare Provider Details

I. General information

NPI: 1336623289
Provider Name (Legal Business Name): JENNIFER KRAMER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER VETICK

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 09/29/2026
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 S 17TH ST STE 310
LINCOLN NE
68502-3785
US

IV. Provider business mailing address

3672 X ST
LINCOLN NE
68503-2765
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-8590
  • Fax:
Mailing address:
  • Phone: 402-802-4560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number115233
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number71586
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: