Healthcare Provider Details

I. General information

NPI: 1740146232
Provider Name (Legal Business Name): JENNIFER ZOUCHA RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 JERSEY ST
PAPILLION NE
68046-7109
US

IV. Provider business mailing address

909 EDGEWOOD BLVD
PAPILLION NE
68046-6151
US

V. Phone/Fax

Practice location:
  • Phone: 402-591-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number58890
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: