Provider Demographics
NPI:1740848761
Name:CONKEL, JENNIFER (RN BSN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CONKEL
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:NE
Mailing Address - Zip Code:68634-0042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 N STATE ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:NE
Practice Address - Zip Code:68651-5522
Practice Address - Country:US
Practice Address - Phone:402-747-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE78809163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse