Healthcare Provider Details

I. General information

NPI: 1265336267
Provider Name (Legal Business Name): JENNIFER BLANKENSHIP LIMHP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11919 P ST STE C
OMAHA NE
68137-2226
US

IV. Provider business mailing address

12732 HARNEY ST
OMAHA NE
68154-2336
US

V. Phone/Fax

Practice location:
  • Phone: 402-570-3847
  • Fax: 531-325-9294
Mailing address:
  • Phone: 402-570-3847
  • Fax: 531-325-9294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JENNIFER SUZANNE BLANKENSHIP
Title or Position: OWNER
Credential: LIMHP
Phone: 402-570-3847