Provider Demographics
NPI:1437182565
Name:JANSSEN, STEVEN D (PA-C)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:JANSSEN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N 29TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-3262
Mailing Address - Country:US
Mailing Address - Phone:402-844-8183
Mailing Address - Fax:402-844-8184
Practice Address - Street 1:301 N 29TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3262
Practice Address - Country:US
Practice Address - Phone:402-844-8183
Practice Address - Fax:402-844-8184
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1173363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant