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NPI 1982773776 · live from the CMS NPI Registry

Alegent Health Bergan Mercy Health System

Nurse Practitioner in Omaha, NE. National Provider Identifier 1982773776, active.

NPI record

NPI1982773776 Type 2 · organization
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location12809 W Dodge Rd, Omaha, NE 68154
Practice phone402-398-6255
EnumeratedNovember 7, 2006
Last updatedDecember 21, 2016
Authorized officialKeith Jankuski, Coo
Other namesChi Health

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X—
Nurse Practitioner primary363L00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.