Individual
JORDAN R SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3308 SAMSON WAY STE 203, BELLEVUE, NE 68123-3235
(402) 717-7680
(402) 717-8806
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
114870
NE
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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