Provider Demographics
NPI:1437959996
Name:STARZL-MCFADDEN, JAYNI LYNN (LPN)
Entity type:Individual
Prefix:
First Name:JAYNI
Middle Name:LYNN
Last Name:STARZL-MCFADDEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 S 183RD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-2121
Mailing Address - Country:US
Mailing Address - Phone:402-992-8797
Mailing Address - Fax:
Practice Address - Street 1:7115 S 183RD AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-2121
Practice Address - Country:US
Practice Address - Phone:402-992-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X
NE26940000164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No372500000XNursing Service Related ProvidersChore Provider