Healthcare Provider Details
I. General information
NPI: 1275455750
Provider Name (Legal Business Name): JODI HAYES MSN, RN, MEDSURG-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7500 MERCY RD
OMAHA NE
68124-2319
US
IV. Provider business mailing address
10424 N 53RD ST
OMAHA NE
68152-5017
US
V. Phone/Fax
- Phone: 402-818-2251
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 78573 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: