Individual
JORDAN JAMES AHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 371-4880
Mailing address
56656 HIGHWAY 136, FAIRBURY, NE 68352-5070
(402) 587-1252
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101801
NE
Other
Enumeration date
08/09/2023
Last updated
09/20/2023
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