Healthcare Provider Details

I. General information

NPI: 1487587051
Provider Name (Legal Business Name): MRS. JAMIE MARIE CURTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS JAMIE MARIE WIDDOWSON

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 WOOLWORTH AVE
OMAHA NE
68105-1850
US

IV. Provider business mailing address

19055 T ST
OMAHA NE
68135-4114
US

V. Phone/Fax

Practice location:
  • Phone: 402-346-8800
  • Fax:
Mailing address:
  • Phone: 253-590-6215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO05382
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO05382
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: