Provider Demographics
NPI:1457053084
Name:PIEPER, JAIME JO (DO)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:JO
Last Name:PIEPER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:JO
Other - Last Name:BRIDGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1319 LEAVENWORTH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-3215
Mailing Address - Country:US
Mailing Address - Phone:402-552-3222
Mailing Address - Fax:402-552-2172
Practice Address - Street 1:1319 LEAVENWORTH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-3215
Practice Address - Country:US
Practice Address - Phone:402-552-3222
Practice Address - Fax:402-552-2172
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program