Provider Demographics
NPI:1942982475
Name:CHANCE, JILLIAN ANN (DNP)
Entity Type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:ANN
Last Name:CHANCE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 OLD DOMINION RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5406
Mailing Address - Country:US
Mailing Address - Phone:402-617-1026
Mailing Address - Fax:
Practice Address - Street 1:3625 OLD DOMINION RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5406
Practice Address - Country:US
Practice Address - Phone:402-617-1026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE66853163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator