MEDICARE: JESSICA LYNN ROZMIAREK RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	84202	NE

General Provider Information

NPI Number	:	1073400982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN ROZMIAREK RN

Provider Business Mailing Address
First Line	:	800 N 8TH ST
Second Line	:
City	:	LOUP CITY
State	:	NE
Zip	:	68853-8020
Country	:	US
Telephone Number	:	308-745-0120
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 N 8TH ST
Second Line	:
City	:	LOUP CITY
State	:	NE
Zip	:	68853-8020
Country	:	US
Telephone Number	:	308-745-0120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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