Healthcare Provider Details

I. General information

NPI: 1023128519
Provider Name (Legal Business Name): JEANNE L. HOWARD C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N 30TH ST SUITE 3222
OMAHA NE
68131-2128
US

IV. Provider business mailing address

PO BOX 642117
OMAHA NE
68164-8117
US

V. Phone/Fax

Practice location:
  • Phone: 402-449-4847
  • Fax:
Mailing address:
  • Phone: 402-398-6254
  • Fax: 402-829-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number100057
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: