Individual
JENNIFER BLAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20918 POPPLETON CIR, ELKHORN, NE 68022-2201
(402) 881-9318
Mailing address
2330 N MAIN ST APT 10105, ELKHORN, NE 68022-3172
(402) 881-9318
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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