Individual
JOHNNITA SHAVON SKIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7434 N 89TH AVE, OMAHA, NE 68122-5260
(402) 913-8564
Mailing address
7434 N 89TH AVE, OMAHA, NE 68122-5260
(402) 913-8564
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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