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Individual

JORDAN M BRINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
42ND AND EMILE, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
624 N 147TH AVE, OMAHA, NE 68154-1908

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81929
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101767
NE

Other

Enumeration date
06/28/2022
Last updated
07/07/2023
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