Individual
JAMAR LYDELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5307 TUCKER ST, OMAHA, NE 68152-1831
(402) 880-0846
(402) 880-0846
Mailing address
5307 TUCKER ST, OMAHA, NE 68152-1831
(402) 880-0846
(402) 880-0846
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/20/2025
Last updated
11/10/2025
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