Provider Demographics
NPI:1174321632
Name:STRICKLIN, JASON R
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:R
Last Name:STRICKLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1734 S 74TH ST APT 211
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-1747
Mailing Address - Country:US
Mailing Address - Phone:712-218-0999
Mailing Address - Fax:
Practice Address - Street 1:1734 S 74TH ST APT 211
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-1747
Practice Address - Country:US
Practice Address - Phone:712-218-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty