Individual
JENNA LEE SHUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(724) 970-4532
Mailing address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-5880
(402) 398-6716
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1174123
WV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
3178
NE
Other
Enumeration date
06/11/2020
Last updated
06/23/2025
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