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NPI Code Detail

MEDICARE: JORDAN JILG-BROWN

MEDICARE: JORDAN JILG-BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider
2372600000XAdult Companion
3253Z00000XIn Home Supportive Care Agency
43747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1184424970
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN JILG-BROWN
Provider Business Mailing Address
First Line : 2918 RALEIGH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68516-2769
Country : US
Telephone Number : 402-309-9223
Fax Number :
Provider Business Practice Location Address
First Line : 2918 RALEIGH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68516-2769
Country : US
Telephone Number : 402-309-9223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2025
Last Update Date : 03/19/2025

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Directions to “ JORDAN JILG-BROWN ” Practice Location

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