Healthcare Provider Details

I. General information

NPI: 1831684166
Provider Name (Legal Business Name): JENNIFER J COMPTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 WOOLWORTH AVE
OMAHA NE
68105-1850
US

IV. Provider business mailing address

38898 PINOAK RD
HANCOCK IA
51536-4056
US

V. Phone/Fax

Practice location:
  • Phone: 316-305-1141
  • Fax:
Mailing address:
  • Phone: 316-305-1141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH143535
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: