Provider Demographics
NPI:1982664405
Name:ALBERTS, JENNIFER H (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:H
Last Name:ALBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5436
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802-5436
Mailing Address - Country:US
Mailing Address - Phone:308-384-9300
Mailing Address - Fax:308-384-4542
Practice Address - Street 1:418 N WEBB RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4045
Practice Address - Country:US
Practice Address - Phone:308-384-9300
Practice Address - Fax:308-384-4542
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22426207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025016800Medicaid
NE810606852OtherCOVENTRY
NE810606852OtherTRICARE
NE01726OtherBCBS OF NE INDIV #
NE240574OtherMIDLANDS CHOICE
NEP00046672OtherRAIL ROAD MEDICARE
NE810606852OtherMUTUAL OF OMAHA
NE810606852OtherUNITED HEALTH CARE
NE810606852OtherCIGNA
NE10025016800Medicaid
NE240574OtherMIDLANDS CHOICE