Individual
JACKIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N MAIN ST, FREMONT, NE 68025-5058
(402) 933-0680
Mailing address
204 S PARK ST, HOOPER, NE 68031-3116
(402) 317-8450
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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