NPI 1366899684 · live from the CMS NPI Registry
Jenna S Beideck, APRN
Nurse Practitioner in Lincoln, NE. National Provider Identifier 1366899684, active.
NPI record
| NPI | 1366899684 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1600 S 48th St, Ste 600, Lincoln, NE 68506 |
| Practice phone | 402-483-3333 |
| Mailing address | Po Box 6607, Lincoln, NE 68506 |
| Enumerated | May 17, 2016 |
| Last updated | December 31, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN.1620370 (CO) |
| Nurse Practitioner | 363L00000X | APN.0992527 (CO) |
| Nurse Practitioner primary | 363L00000X | 112687 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.