Provider Demographics
NPI:1114790987
Name:OSWALD, JENNIFER (RN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:OSWALD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:NE
Mailing Address - Zip Code:68344-3034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:425 F ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NE
Practice Address - Zip Code:68418-4140
Practice Address - Country:US
Practice Address - Phone:402-780-5327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE52400163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool