Provider Demographics
NPI:1700686110
Name:SNOOK, JANCE DARLINE
Entity type:Individual
Prefix:
First Name:JANCE
Middle Name:DARLINE
Last Name:SNOOK
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 1:200 E PARK ST
Mailing Address - Street 2:
Mailing Address - City:HARTINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68739-4603
Mailing Address - Country:US
Mailing Address - Phone:402-841-6604
Mailing Address - Fax:
Practice Address - Street 1:204 N ABERLEY AVE
Practice Address - Street 2:
Practice Address - City:HARTINGTON
Practice Address - State:NE
Practice Address - Zip Code:68739-5117
Practice Address - Country:US
Practice Address - Phone:402-841-6604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide