Individual
MRS. JORDAN AMBER HAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
910 20TH ST, GOTHENBURG, NE 69138-1237
(308) 537-3661
Mailing address
1016 22ND ST, GOTHENBURG, NE 69138-2507
(308) 529-0350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115387
NE
Other
Enumeration date
05/30/2024
Last updated
06/27/2024
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