Healthcare Provider Details

I. General information

NPI: 1235042466
Provider Name (Legal Business Name): JADA JANELLE CONNATSER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JJ JANELLE CONNATSER

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11714 S 53RD AVE
PAPILLION NE
68133-2796
US

IV. Provider business mailing address

11714 S 53RD AVE
PAPILLION NE
68133-2796
US

V. Phone/Fax

Practice location:
  • Phone: 402-937-4018
  • Fax:
Mailing address:
  • Phone: 402-937-4018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: