Individual
JADEN ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
Mailing address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P52281
IA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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