Healthcare Provider Details
I. General information
NPI: 1497646145
Provider Name (Legal Business Name): JENNA MICHELLE FUEHRER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/11/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2319 N LINCOLN AVE
YORK NE
68467-1001
US
IV. Provider business mailing address
2319 N LINCOLN AVE
YORK NE
68467-1001
US
V. Phone/Fax
- Phone: 402-362-1444
- Fax: 402-363-6623
- Phone: 402-362-1444
- Fax: 402-363-6623
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | 154510 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: