Healthcare Provider Details

I. General information

NPI: 1104984699
Provider Name (Legal Business Name): JANICE ELAINE ONEIL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987580 NEBRASKA MEDICAL CENTER NEBRASKA MEDICAL CENTER
OMAHA NE
68198-7580
US

IV. Provider business mailing address

4606 NORTH 134TH AVE
OMAHA NE
68164
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-3818
  • Fax: 402-552-3843
Mailing address:
  • Phone: 402-330-1865
  • Fax: 402-552-3843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28871
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number110238
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: