Provider Demographics
NPI:1174335152
Name:AZEEZ, JWANI BAQI (SOLE PROPRIETOR)
Entity type:Individual
Prefix:
First Name:JWANI
Middle Name:BAQI
Last Name:AZEEZ
Suffix:
Gender:F
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:JWANI
Other - Middle Name:BAQI
Other - Last Name:AZEEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JWANI
Mailing Address - Street 1:8720 PRAIRIE VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-9432
Mailing Address - Country:US
Mailing Address - Phone:402-249-1027
Mailing Address - Fax:
Practice Address - Street 1:8720 PRAIRIE VILLAGE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-9432
Practice Address - Country:US
Practice Address - Phone:402-249-1027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker