Provider Demographics
NPI:1497571962
Name:GERIANI, KEEIAN JESSIE (CNA)
Entity type:Individual
Prefix:
First Name:KEEIAN
Middle Name:JESSIE
Last Name:GERIANI
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:KENNY
Other - Middle Name:JESSIE
Other - Last Name:GERIANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNA
Mailing Address - Street 1:2100 WASHINGTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-2866
Mailing Address - Country:US
Mailing Address - Phone:630-808-0461
Mailing Address - Fax:
Practice Address - Street 1:7800 HIGH ST, LINCOLN, NE 68506
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:630-808-0461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE164382376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide