Provider Demographics
NPI:1578368965
Name:O'NEAL, JAYANNA
Entity type:Individual
Prefix:
First Name:JAYANNA
Middle Name:
Last Name:O'NEAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 S 50TH ST STE 302
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-1355
Mailing Address - Country:US
Mailing Address - Phone:402-415-6757
Mailing Address - Fax:
Practice Address - Street 1:4601 S 50TH ST STE 302
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117-1355
Practice Address - Country:US
Practice Address - Phone:402-415-6757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide