Individual
MRS. JENNA JO BREITKREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 N 19TH ST, ORD, NE 68862-1351
(308) 728-3331
Mailing address
320 N 19TH ST, ORD, NE 68862-1351
(308) 728-3331
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
67391
NE
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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