Individual
JORDAN TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 N 63RD ST, LINCOLN, NE 68507-2425
(402) 890-9319
Mailing address
2900 N 63RD ST, LINCOLN, NE 68507-2425
(402) 890-9319
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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