Jada Marie Jensen, PHARMD
Individual provider Active NPI Pharmacist · Hemingford, NE
NPI 1497475883 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1497475883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17597 (NE)
- Practice address
- 508 Niobrara Ave
Hemingford, NE 69348-9703 - Phone
- (308) 487-5212
- NPI assigned
- Aug 29, 2022
- 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)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17597 | NE | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17597 | NE | Yes |
Addresses
Primary practice location
508 Niobrara Ave
Hemingford, NE 69348-9703
Mailing address
6991 Otoe Rd Lot 2
Alliance, NE 69301-5000
Phone (308) 458-8442
Other providers in Hemingford, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. 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.