Provider Demographics
NPI:1598657769
Name:POSSINGER, JOLENE K
Entity type:Individual
Prefix:
First Name:JOLENE
Middle Name:K
Last Name:POSSINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14205 POPPLETON CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-1023
Mailing Address - Country:US
Mailing Address - Phone:402-315-4426
Mailing Address - Fax:
Practice Address - Street 1:14205 POPPLETON CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-1023
Practice Address - Country:US
Practice Address - Phone:402-315-4426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist