Individual
JENNA L. EICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-3236
(402) 354-6530
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A122298
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548676976
—
IA
05
—
470376604-32
—
NE
Enumeration date
07/07/2014
Last updated
07/02/2015
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