Individual
JENA NICHOLE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 S 15TH ST, OMAHA, NE 68102-2207
(402) 354-2273
(402) 815-9745
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114772
NE
Other
Enumeration date
11/17/2020
Last updated
03/31/2025
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