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

Jill Detavernier

Individual provider Attendant Care Provider · NPI 1205786134

Jill Detavernier is an Attendant Care Provider in Omaha, Nebraska. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5606 S 147th St
Omaha, NE 68137-2648
Phone: (402) 715-8200
Show map & directions

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

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X

Record details

NPI number1205786134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address8152 S 184th Ter, Omaha, NE 68136-6448

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