Provider Demographics
NPI:1710014758
Name:JENKINS, CHERI DENISE (RN, MS, LMHP, APRN)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:DENISE
Last Name:JENKINS
Suffix:
Gender:F
Credentials:RN, MS, LMHP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10826 OLD MILL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2660
Mailing Address - Country:US
Mailing Address - Phone:402-415-9226
Mailing Address - Fax:402-475-8721
Practice Address - Street 1:10826 OLD MILL RD STE 104
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2660
Practice Address - Country:US
Practice Address - Phone:402-415-9226
Practice Address - Fax:402-475-8721
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3926101YM0800X
NE1947101YP2500X
NE112138363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional