Jean Marie Baum, PA-C
Individual provider Active NPI Physician Assistant · Lincoln, NE
NPI 1962555201 · NPPES record last updated Apr 22, 2015
Key facts
- NPI
- 1962555201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 695 (NE)
- Practice address
- 1520 South 70TH St
Ste 200
Lincoln, NE 68506-1566 - Phone
- (402) 464-9000
- Fax
- (402) 464-4447
- NPI assigned
- Jan 19, 2007
- 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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001774 | IA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 695 | NE | Yes |
Addresses
Primary practice location
1520 South 70TH St
Ste 200
Lincoln, NE 68506-1566
Mailing address
1520 South 70TH St
Ste 200
Lincoln, NE 68506-1566
Phone (402) 464-9000
Other providers in Lincoln, NE
- Tessa Bauer
- Thomas G. Bauer
- Jackie Lynn Bauersachs
- Nancy T Baugous
- Douglas Paul Baum
- Jenna Marie Baum
- Tina D Baum
- Hope Michelle Bauman
- Suzie Bauman
- Wyatt Evan Bauman
All providers in Lincoln, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2015. 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.