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NPI Code Detail

MEDICARE: JENNIFER CONAHAN II

MEDICARE: JENNIFER CONAHAN II
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
1163WS0200XSchool Registered Nurse48465NE

General Provider Information

NPI Number : 1164907630
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CONAHAN II
Provider Business Mailing Address
First Line : 8050 N 129TH AVE
Second Line :
City : OMAHA
State : NE
Zip : 68142-1804
Country : US
Telephone Number : 531-299-2341
Fax Number : 531-299-2359
Provider Business Practice Location Address
First Line : 8050 N 129TH AVE
Second Line :
City : OMAHA
State : NE
Zip : 68142-1804
Country : US
Telephone Number : 531-299-2341
Fax Number : 531-299-2359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2018
Last Update Date : 10/08/2018

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Directions to “ JENNIFER CONAHAN II ” Practice Location

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