Healthcare Provider Details

I. General information

NPI: 1821912171
Provider Name (Legal Business Name): J&T CONTRACTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13520 DISCOVERY DR STE 111
OMAHA NE
68137-3022
US

IV. Provider business mailing address

13520 BERRY CIR
OMAHA NE
68137-3015
US

V. Phone/Fax

Practice location:
  • Phone: 402-590-4734
  • Fax:
Mailing address:
  • Phone: 402-590-4734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. PHYLLIS VANCE
Title or Position: OWNER
Credential: APRN-NP
Phone: 492-590-4734