Individual
JYLLYAN CHRISTINE HALLDORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3814 S 186TH AVE, OMAHA, NE 68130-6029
(402) 578-4932
Mailing address
3814 S 186TH AVE, OMAHA, NE 68130-6029
(402) 578-4932
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
112096
NE
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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