Provider Demographics
NPI:1841758539
Name:VANEK, JAMIE SUE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:SUE
Last Name:VANEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:SUE
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-4101
Mailing Address - Country:US
Mailing Address - Phone:402-727-3000
Mailing Address - Fax:
Practice Address - Street 1:200 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-6469
Practice Address - Country:US
Practice Address - Phone:402-721-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE59391163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool