Healthcare Provider Details

I. General information

NPI: 1497680300
Provider Name (Legal Business Name): TESS JERABEK BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 HOWARD AVE
SAINT PAUL NE
68873-1402
US

IV. Provider business mailing address

1720 15TH AVE
FARWELL NE
68838-1822
US

V. Phone/Fax

Practice location:
  • Phone: 308-754-4433
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number87651
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: