Healthcare Provider Details

I. General information

NPI: 1164358271
Provider Name (Legal Business Name): KAMRYN ANN JAEGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 HIDCOTE DR STE 300
LINCOLN NE
68516-5569
US

IV. Provider business mailing address

1025 N 63RD ST APT A1A
LINCOLN NE
68505-2285
US

V. Phone/Fax

Practice location:
  • Phone: 402-665-4687
  • Fax:
Mailing address:
  • Phone: 402-606-6303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number158155
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: