IndividualActive
Jamar Johnson
NPI 1114728771 · Contractor · Omaha, NE
Provider details
- NPI number
- 1114728771
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
Practice location
5307 Tucker St
Omaha, NE 68152-1831
Phone: (402) 880-0846
Fax: (402) 880-0846
Approximate (ZIP-level) locationGet directions
Mailing address
5307 Tucker St
Omaha, NE 68152-1831
Registry dates
- Enumerated
- 2025-03-20
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.