Healthcare Provider Details

I. General information

NPI: 1053239400
Provider Name (Legal Business Name): JORDAN ISABELLA FRANCESCA WITTE DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N KANSAS AVE STE 208
HASTINGS NE
68901-4438
US

IV. Provider business mailing address

715 N KANSAS AVE STE 208
HASTINGS NE
68901-4438
US

V. Phone/Fax

Practice location:
  • Phone: 402-463-2929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number117016
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: