Healthcare Provider Details

I. General information

NPI: 1538042734
Provider Name (Legal Business Name): JOHNNA MICHELLE HAMM RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W 3RD ST
LOUISVILLE NE
68037-7089
US

IV. Provider business mailing address

202 W 3RD ST
LOUISVILLE NE
68037-7089
US

V. Phone/Fax

Practice location:
  • Phone: 402-234-3585
  • Fax: 402-234-3585
Mailing address:
  • Phone: 402-234-3585
  • Fax: 844-367-3680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number84412
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: