Individual
JORDAN P HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6900 A ST STE 100, LINCOLN, NE 68510-4120
(402) 436-2000
Mailing address
6900 A ST STE 100, LINCOLN, NE 68510-4120
(402) 436-2000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
10/18/2022
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