Individual
MRS. JORDAN PAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
Mailing address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25850
NE
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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