Sandra Jordan
Technician, Personal Care Attendant in Omaha, NE. Individual provider (NPI-1).
NPI number1962390872
StatusActive
Last updated in NPPESJun 27, 2025
Details
- NPI
- 1962390872
- Entity type
- Individual (NPI-1)
- Name
- Sandra Jordan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2025
- Certification date
- Jun 27, 2025
- Last updated
- Jun 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | NE | Yes |
Practice location
5017 Leavenworth St Ste 2Omaha, NE 68106-1438
Phone 402-505-7300
Mailing address
5017 Leavenworth St Ste 2Omaha, NE 68106-1438
Phone 402-505-7300
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