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NPI Code Detail

MEDICARE: JAMIE ROSE ELSENER-SHARP RN

MEDICARE:   JAMIE ROSE ELSENER-SHARP  RN
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 Nurse66937NE

General Provider Information

NPI Number : 1790330975
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE ROSE ELSENER-SHARP RN
Provider Business Mailing Address
First Line : 3326 S 56TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68106-3706
Country : US
Telephone Number : 402-304-7132
Fax Number :
Provider Business Practice Location Address
First Line : 2316 S 18TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68108-3952
Country : US
Telephone Number : 531-299-1160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2019
Last Update Date : 08/05/2019

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Directions to “ JAMIE ROSE ELSENER-SHARP RN” Practice Location

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