| Jh Wellness Services, Llc | |
|
2737 S 12th St Lincoln NE 68502 | |
| (402) 913-0270 | |
| Not Available |
| Full Name | Jh Wellness Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2737 S 12th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Jennifer Hagen (OWNER) |
| Authorized Official Contact | 4029130270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jh Wellness Services, Llc Po Box 22412 Lincoln NE 68542-2412 Ph: (402) 913-0270 | Jh Wellness Services, Llc 2737 S 12th St Lincoln NE 68502 Ph: (402) 913-0270 |
| NPI Number | 1598259640 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 07/04/2018 |
| Medicare PECOS PAC ID | 1254688229 |
|---|---|
| Medicare Enrollment ID | O20180723000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598259640 | NPI | - | NPPES |
| 1841341476 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3274 (Nebraska) | Primary |
| Provider Name | Jennifer L Hagen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841341476 PECOS PAC ID: 7810084852 Enrollment ID: I20071107000478 |
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