Individual
JODY BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1215 TIBBALS ST, HOLDREGE, NE 68949-1255
(308) 995-2211
Mailing address
PO BOX 633, LEXINGTON, NE 68850-0633
(402) 395-1666
(402) 395-1666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100752
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001002
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38126
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/18/2006
Last updated
06/12/2025
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