Provider Demographics
NPI:1346725629
Name:JONES-NIERMAN, BRENDA JEAN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:JEAN
Last Name:JONES-NIERMAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10828 OLD MAPLE RD # NE68164
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2800
Mailing Address - Country:US
Mailing Address - Phone:531-299-7776
Mailing Address - Fax:
Practice Address - Street 1:10828 OLD MAPLE RD # NE68164
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2800
Practice Address - Country:US
Practice Address - Phone:531-299-7776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE82720163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool