Individual
ANDRE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7215 N. 90TH STREET, OMAHA, NE 68122
(402) 943-7337
Mailing address
7215 N 90TH ST, OMAHA, NE 68122-5235
(402) 943-7337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66556
NE
Other
Enumeration date
07/08/2014
Last updated
07/10/2014
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