Provider Demographics
NPI:1811180151
Name:DANAHAY, JILLIANNE M (APRN)
Entity type:Individual
Prefix:
First Name:JILLIANNE
Middle Name:M
Last Name:DANAHAY
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:17445 ARBOR STREET
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130
Mailing Address - Country:US
Mailing Address - Phone:531-444-1206
Mailing Address - Fax:402-445-8033
Practice Address - Street 1:17201 WRIGHT STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130
Practice Address - Country:US
Practice Address - Phone:402-334-4773
Practice Address - Fax:402-330-7463
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2024-11-14
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Provider Licenses
StateLicense IDTaxonomies
NE110883363L00000X
IAH-123323363L00000X
NE57585163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE98798001Medicare PIN