Provider Demographics
NPI:1073777967
Name:HOWARD, JENNIFER LYNN (DC, BS, FASA)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DC, BS, FASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 N 129TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-5211
Mailing Address - Country:US
Mailing Address - Phone:402-885-8783
Mailing Address - Fax:402-885-8794
Practice Address - Street 1:3675 N 129TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-5211
Practice Address - Country:US
Practice Address - Phone:402-885-8783
Practice Address - Fax:402-885-8794
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1073777967OtherSANFORD HEALTH PLAN
NE258442OtherPRINCIPAL
NE10025738000Medicaid
NE258442OtherMIDLANDS CHOICE/AETNA/CIGNA
NE27236OtherBCBS
NE1073777967OtherCOVENTRY
NE258442OtherPRINCIPAL
NE1386886273Medicare PIN