Provider Demographics
NPI:1659027993
Name:LANSMAN, JENNIFER J (PA-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:J
Last Name:LANSMAN
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9900 NICHOLAS ST STE 300
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2249
Mailing Address - Country:US
Mailing Address - Phone:402-829-6495
Mailing Address - Fax:402-829-6495
Practice Address - Street 1:9900 NICHOLAS ST STE 300
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2249
Practice Address - Country:US
Practice Address - Phone:402-829-6384
Practice Address - Fax:402-829-6495
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE2715363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant