Provider Demographics
NPI:1275322554
Name:THURMAN, JENNIFER PAOLA (RN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:PAOLA
Last Name:THURMAN
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10407 S 105TH ST
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-5676
Mailing Address - Country:US
Mailing Address - Phone:402-750-1768
Mailing Address - Fax:
Practice Address - Street 1:10407 S 105TH ST
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-5676
Practice Address - Country:US
Practice Address - Phone:402-750-1768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE74927163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse