Individual provider · Type 1 NPI

Jamar Lydell Johnson

Contractor · Omaha, NE

NPI number 1114728771 Active

Practice location

5307 Tucker St
Omaha, NE 68152-1831

Fax (402) 880-0846

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801XNone listed
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1114728771

Jamar Lydell Johnson's National Provider Identifier is 1114728771, issued on Mar 20, 2025. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Omaha, NE. The record was last updated on Nov 10, 2025.