Jenna S Beideck, APRN
Individual provider Active NPI Nurse Practitioner · Lincoln, NE
NPI 1366899684 · NPPES record last updated Dec 31, 2018
Key facts
- NPI
- 1366899684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 112687 (NE)
- Practice address
- 1600 S 48TH St
Ste 600
Lincoln, NE 68506-1299 - Phone
- (402) 483-3333
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0992527 | CO | MD | Nurse Practitioner |
| RN.1620370 | CO | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN.1620370 | CO | |
| Nurse Practitioner | 363L00000X | APN.0992527 | CO | |
| Nurse Practitioner | 363L00000X | 112687 | NE | Yes |
Addresses
Primary practice location
1600 S 48TH St
Ste 600
Lincoln, NE 68506-1299
Mailing address
PO Box 6607
Lincoln, NE 68506-0607
Phone (402) 483-3333
Other providers in Lincoln, NE
- Amy Behrens
- Brent John Behrens
- Cory Lynne Behrens
- Matthew Behrens
- Nicole Behring
- Lynn Rene Beideck
- Melonie Gay Beideck
- Jon Beiermann
- Tiffany A Beiermann
- Katrina Beil
All providers in Lincoln, NE · Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.