Provider Demographics
NPI:1275777468
Name:ROCHA, JENNIFER B (APRN-DNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:B
Last Name:ROCHA
Suffix:
Gender:F
Credentials:APRN-DNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:B
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FRIEND, DNP, APRN
Mailing Address - Street 1:7500 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2319
Mailing Address - Country:US
Mailing Address - Phone:402-398-6017
Mailing Address - Fax:
Practice Address - Street 1:8200 DODGE STREET
Practice Address - Street 2:CHILDREN'S HOSPITAL & MEDICAL CENTER - NICU
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4113
Practice Address - Country:US
Practice Address - Phone:402-955-8065
Practice Address - Fax:402-955-3393
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110972363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care