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NPI Code Detail

MEDICARE: MRS. JENNIFER LYNN FARNHAM APRN

MEDICARE: MRS. JENNIFER LYNN FARNHAM APRN
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
1363LN0000XNeonatal Nurse Practitioner110788NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598800575
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LYNN FARNHAM APRN
Provider Business Mailing Address
First Line : PO BOX 2797
Second Line :
City : OMAHA
State : NE
Zip : 68103-2797
Country : US
Telephone Number : 402-354-4230
Fax Number : 402-354-6171
Provider Business Practice Location Address
First Line : 707 N 190TH PLZ
Second Line :
City : ELKHORN
State : NE
Zip : 68022-3974
Country : US
Telephone Number : 402-815-6428
Fax Number : 402-815-1565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 09/26/2014

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