Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Bean, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1992593636

Jaclyn Bean, NURSEPRACTITIONER is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2024, 2 years ago. Licensed in Nebraska.

Years since qualifying
2
Licensed in
NE
In the registry since
2025

Practice location Address checks out

555 N 30th St
Omaha, NE 68131-2136
Phone: (402) 212-7109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 115965 (NE)

Record details

NPI number1992593636
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address1416 S 54th St, Omaha, NE 68106-2312

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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