Provider Demographics
NPI:1447055579
Name:RAGUSA, JENNIFER AMY
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:AMY
Last Name:RAGUSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:AMY
Other - Last Name:MCGUINNESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 W NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-5341
Mailing Address - Country:US
Mailing Address - Phone:402-379-8225
Mailing Address - Fax:
Practice Address - Street 1:85709 563RD AVE
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:NE
Practice Address - Zip Code:68723-2310
Practice Address - Country:US
Practice Address - Phone:845-264-7421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker