Individual
DR. JENNIFER LYNN MANARD-HESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5660 N. 103RD STREET, OMAHA, NE 68134
(402) 493-4333
(402) 493-4334
Mailing address
14508 LARIMORE AVENUE, OMAHA, NE 68116
(402) 493-1152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1284
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249719-00
—
NE
01
—
99654
BLUE CROSS BLUE SHIELD #
NE
01
—
P00089257
MEDICARE RAILROAD
NE
Enumeration date
10/02/2006
Last updated
07/09/2007
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