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

Individual provider Physician Assistant · NPI 1639069313

Marlene Ingrid Djidjoho, PA is a Physician Assistant in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

S 42nd & Emily St
Omaha, NE 68198-0001
Phone: (402) 559-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639069313
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 5, 2025
Last updated in NPPESJuly 5, 2025
Certification dateJuly 5, 2025

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