MEDICARE: JENNI COBBS

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	374700000X	Technician	374700000X	NE

General Provider Information

NPI Number	:	1386452613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNI COBBS

Provider Business Mailing Address
First Line	:	2916 NEBRASKA DR
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68005-4141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7800 S 25TH ST
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68147-2125
Country	:	US
Telephone Number	:	531-299-1220
Fax Number	:

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

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	05/19/2026

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Directions to “ JENNI COBBS ” Practice Location

Language	Start Address	Practice Location

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