Provider Demographics
NPI:1184451981
Name:CARNABY, JEANNE (RN)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:CARNABY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11510 S 117TH AVE
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-3230
Mailing Address - Country:US
Mailing Address - Phone:402-660-5781
Mailing Address - Fax:
Practice Address - Street 1:1724 8TH AVE
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-2359
Practice Address - Country:US
Practice Address - Phone:402-296-4173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE47468163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool