Provider Demographics
NPI:1598174229
Name:JUREK, KONNIE (DNP, FNP-C, PMHNP-C)
Entity Type:Individual
Prefix:DR
First Name:KONNIE
Middle Name:
Last Name:JUREK
Suffix:
Gender:F
Credentials:DNP, FNP-C, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5995 OREN AVE N
Mailing Address - Street 2:STE 209-258
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6379
Mailing Address - Country:US
Mailing Address - Phone:402-524-5688
Mailing Address - Fax:402-702-2549
Practice Address - Street 1:16934 FRANCES ST STE 101
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2397
Practice Address - Country:US
Practice Address - Phone:402-234-7460
Practice Address - Fax:402-234-8193
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112338363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health