Healthcare Provider Details

I. General information

NPI: 1710051222
Provider Name (Legal Business Name): JAMIE NICOLE PROTASKEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE NICOLE SCHNEISS

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 DODGE STREET CHILDREN'S HOSPITAL - EMERGENCY DEPARTMENT
OMAHA NE
68114-4113
US

IV. Provider business mailing address

8200 DODGE STREET CHILDREN'S HOSPITAL
OMAHA NE
68114-4113
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-5150
  • Fax: 402-955-5151
Mailing address:
  • Phone: 402-955-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number110549
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: