Healthcare Provider Details

I. General information

NPI: 1336980010
Provider Name (Legal Business Name): TAYLOR JORDYN HUFF DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 06/05/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 BINNEY ST
OMAHA NE
68110-2038
US

IV. Provider business mailing address

2222 BINNEY ST
OMAHA NE
68110-2038
US

V. Phone/Fax

Practice location:
  • Phone: 402-451-2321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number115404
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: