Individual
JORDAN LYNN RUSKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(800) 451-5796
Mailing address
1924 E 12TH ST, FREMONT, NE 68025-4417
(402) 719-0831
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
90473
NE
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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