MEDICARE: AMANDA CLAIRE JACKSON MD

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	208000000X	Pediatrics Physician	9276	NE
2	2080P0207X	Pediatric Hematology & Oncology Physician	35553	NE

General Provider Information

NPI Number	:	1396205258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA CLAIRE JACKSON MD

Provider Business Mailing Address
First Line	:	8200 DODGE ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-4113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 DODGE ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-4113
Country	:	US
Telephone Number	:	402-955-5400
Fax Number	:

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

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	01/21/2026

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1447096326 — EMILY ELIZABETH CHAMPION MPAS, PA-C
Practice Location Address:

8200 DODGE ST
OMAHA, NE
68114-4113

Practice Phone: 402-955-4200
Practice Fax: 402-955-3262

1356526677 — LESLIE N CHRISTIANSEN
Practice Location Address:

8200 DODGE ST , CHILDREN'S HOSPITAL & MEDICAL CENTER PHYSICAL THERAPY
OMAHA, NE
68114-4113

Practice Phone: 402-955-5400
Practice Fax:

1447684816 — MRS. JENILEE JO VOGEL APRN-NP
Practice Location Address:

8200 DODGE ST , CHILDREN'S HOSPITAL & MEDICAL CENTER - H/O
OMAHA, NE
68114-4113

Practice Phone: 402-955-5400
Practice Fax: 402-955-3972

1720104664 — MS. DAOKA COLLINS APRN
Practice Location Address:

8200 DODGE ST , CHILDREN'S HOSPITAL & MEDICAL CENTER - PICU
OMAHA, NE
68114-4113

Practice Phone: 402-955-4226
Practice Fax: 402-955-3262

1912688862 — LAURA J STETCHAK AUD
Practice Location Address:

8200 DODGE ST
OMAHA, NE
68114-4113

Practice Phone: 402-955-3981
Practice Fax: 402-955-5368

Directions to “ AMANDA CLAIRE JACKSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.