Provider Demographics
NPI:1669347563
Name:BOCKMAN, JANELLE
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:BOCKMAN
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 1:4842 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-2007
Mailing Address - Country:US
Mailing Address - Phone:402-706-0616
Mailing Address - Fax:
Practice Address - Street 1:4842 ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117-2007
Practice Address - Country:US
Practice Address - Phone:402-706-0616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider