Individual
JENNA BANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W 10TH ST, SCHUYLER, NE 68661-2016
(402) 615-5514
Mailing address
333 TIMBER LN, SCHUYLER, NE 68661-6237
(303) 918-1422
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
78002
NE
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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