Provider Demographics
NPI:1861638504
Name:AUSTIN, JENNIFER CHIPPS (ANP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:CHIPPS
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:CHIPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:4004 PIONEER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7548
Mailing Address - Country:US
Mailing Address - Phone:402-484-4900
Mailing Address - Fax:402-484-6456
Practice Address - Street 1:4004 PIONEER WOODS DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-7548
Practice Address - Country:US
Practice Address - Phone:402-484-4900
Practice Address - Fax:402-484-6456
Is Sole Proprietor?:No
Enumeration Date:2008-12-31
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN187723363LA2200X
NE111962363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1861638504OtherNPI