Healthcare Provider Details

I. General information

NPI: 1639784960
Provider Name (Legal Business Name): JENNA A HILKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 L ST
ORD NE
68862-1275
US

IV. Provider business mailing address

2707 L ST
ORD NE
68862-1275
US

V. Phone/Fax

Practice location:
  • Phone: 308-728-4200
  • Fax: 308-728-3500
Mailing address:
  • Phone: 308-728-4202
  • Fax: 308-728-3500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA160332
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: