Individual
JODENE THOMAS BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
3350 10TH ST, GERING, NE 69341-1724
(308) 635-3089
(308) 635-0264
Mailing address
3350 10TH ST, GERING, NE 69341-1724
(308) 635-3089
(308) 635-0264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110177
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47049359410
—
NE
01
—
P13377
UPIN
—
Enumeration date
07/25/2006
Last updated
07/09/2007
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