Provider Demographics
NPI:1134403173
Name:MEISTER, JEAN (APRN)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:MEISTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:
Other - Last Name:SEMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:3681 N RD
Mailing Address - Street 2:
Mailing Address - City:DAVID CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68632-8000
Mailing Address - Country:US
Mailing Address - Phone:402-641-3709
Mailing Address - Fax:
Practice Address - Street 1:1065 N 115TH ST STE 120
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4423
Practice Address - Country:US
Practice Address - Phone:402-609-4818
Practice Address - Fax:402-502-4567
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111129363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47055317300Medicaid