Individual
MYA RENEE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3304 N 41ST ST, OMAHA, NE 68111-3056
(531) 361-5149
Mailing address
3304 N 41ST ST, OMAHA, NE 68111-3056
(531) 361-5149
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
171619
NE
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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