Provider Demographics
NPI:1275405672
Name:ISMAIL, AMOUNA YOUSSOUF
Entity type:Individual
Prefix:
First Name:AMOUNA
Middle Name:YOUSSOUF
Last Name:ISMAIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6124 N 30TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-1286
Mailing Address - Country:US
Mailing Address - Phone:402-850-4715
Mailing Address - Fax:
Practice Address - Street 1:6124 N 30TH ST APT 3
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-1286
Practice Address - Country:US
Practice Address - Phone:402-850-4715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide