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David Jenner

Adult Companion in Grand Island, NE. Individual provider (NPI-1).

NPI number1831990688
StatusActive
Last updated in NPPESMar 19, 2025

Details

NPI
1831990688
Entity type
Individual (NPI-1)
Name
David Jenner
Sole proprietor
Yes
Enumeration date
Mar 19, 2025
Certification date
Mar 19, 2025
Last updated
Mar 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

2208 N Webb Rd Unit 4
Grand Island, NE 68803-1756

Phone 402-698-9812

Mailing address

43 York Mobile Plz
York, NE 68467-9608

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