Healthcare Provider Details

I. General information

NPI: 1902711815
Provider Name (Legal Business Name): BROOKE-LYNN JEWETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 S 15TH ST LOT 71
PLATTSMOUTH NE
68048-4601
US

IV. Provider business mailing address

2425 S 15TH ST LOT 71
PLATTSMOUTH NE
68048-4601
US

V. Phone/Fax

Practice location:
  • Phone: 531-262-8658
  • Fax:
Mailing address:
  • Phone: 531-262-8658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: