Healthcare Provider Details

I. General information

NPI: 1073476545
Provider Name (Legal Business Name): JORY FRENCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 N H ST
BROKEN BOW NE
68822-1262
US

IV. Provider business mailing address

1135 N H ST
BROKEN BOW NE
68822-1262
US

V. Phone/Fax

Practice location:
  • Phone: 308-872-6821
  • Fax:
Mailing address:
  • Phone: 908-870-6821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number95225
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: