Individual provider · Type 1 NPI

Jessica Humphrey

Licensed Practical Nurse · Omaha, NE

NPI number 1063301802 Active

Practice location

3000 S 84th St
Omaha, NE 68124-3215

Mailing address

20008 Fairview Rd
Gretna, NE 68028-6212

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X23584 (NE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1063301802

Jessica Humphrey's National Provider Identifier is 1063301802, issued on Jun 28, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Omaha, NE. The record was last updated on Jun 28, 2025.