Patrick Jespersen, REGISTERED NURSE

Individual provider Active NPI School Registered Nurse · Hemingford, NE

NPI 1295290575 · NPPES record last updated Jan 31, 2019

Key facts

NPI
1295290575
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
79339 (NE)
Practice address
911 Niobrara Ave
Hemingford, NE 69348-3102
Phone
(308) 487-7425
NPI assigned
Jan 31, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
79339NEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hemingofrd Schools Past
since Feb 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 79339 NE Yes

Addresses

Primary practice location

911 Niobrara Ave
Hemingford, NE 69348-3102

Mailing address

911 Niobrara Ave
Hemingford, NE 69348-3102
Phone (308) 487-7425

Other providers in Hemingford, NE

All providers in Hemingford, NE · School Registered Nurse in Nebraska

Sources for this page

Verify at the official NPI Registry.