Provider Demographics
NPI:1467344598
Name:JOBE, VERONICA LEE
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:LEE
Last Name:JOBE
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 1:5414 S 49TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68117-2522
Mailing Address - Country:US
Mailing Address - Phone:402-208-5925
Mailing Address - Fax:
Practice Address - Street 1:5143 EASTRIDGE DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-2530
Practice Address - Country:US
Practice Address - Phone:402-208-5925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider