Individual provider · Type 1 NPI
Jordan Amber Haake, APRN
Family Nurse Practitioner · Gothenburg, NE
NPI number
1104666734
Active
Practice location
910 20th St
Gothenburg, NE 69138-1237
Mailing address
1016 22nd St
Gothenburg, NE 69138-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 115387 (NE) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104666734
Jordan Amber Haake, APRN's National Provider Identifier is 1104666734, issued on May 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gothenburg, NE. The record was last updated on Jun 27, 2024.