MEDICARE: NURSE PRACTITIONER MOMS IN HEALTHCARE

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1598626244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE PRACTITIONER MOMS IN HEALTHCARE

Provider Business Mailing Address
First Line	:	1600 S 70TH ST STE 201
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-1568
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 S 70TH ST STE 201
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-1568
Country	:	US
Telephone Number	:	402-440-9731
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	JENNA BEIDECK
Credential	:	APRN
Telephone Number	:	402-440-9731

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	03/31/2026

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