Provider Demographics
NPI:1396895397
Name:JANSSEN, CINDY (DO)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:JANSSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:754 GOLD COAST DR STE 105
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4498
Mailing Address - Country:US
Mailing Address - Phone:402-201-2300
Mailing Address - Fax:402-201-2307
Practice Address - Street 1:101 E CENTENNIAL RD
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2079
Practice Address - Country:US
Practice Address - Phone:402-354-7750
Practice Address - Fax:402-354-7760
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE277207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47068731721Medicaid
IA1821049156Medicaid
NE10024994800Medicaid
NE10024994800Medicaid