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NPI Code Detail

MEDICARE: JENNAH M HENNINGER

MEDICARE:   JENNAH M HENNINGER
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
1372500000XChore ProviderNE
23747P1801XPersonal Care AttendantNE
3374U00000XHome Health AideNE
4372600000XAdult CompanionNE

General Provider Information

NPI Number : 1932095122
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNAH M HENNINGER
Provider Business Mailing Address
First Line : 15285 SIOUX RD
Second Line :
City : GIBBON
State : NE
Zip : 68840-6133
Country : US
Telephone Number : 308-383-2622
Fax Number :
Provider Business Practice Location Address
First Line : 15285 SIOUX RD
Second Line :
City : GIBBON
State : NE
Zip : 68840-6133
Country : US
Telephone Number : 308-383-2622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2025
Last Update Date : 06/16/2025

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Directions to “ JENNAH M HENNINGER ” Practice Location

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