Provider Demographics
NPI:1124434121
Name:MECKNA, JENNI
Entity type:Individual
Prefix:
First Name:JENNI
Middle Name:
Last Name:MECKNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNI
Other - Middle Name:
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6401 CAPEHART RD
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-2680
Mailing Address - Country:US
Mailing Address - Phone:402-658-7937
Mailing Address - Fax:
Practice Address - Street 1:6401 CAPEHART RD
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68133-2680
Practice Address - Country:US
Practice Address - Phone:402-658-7937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker