MEDICARE: JORDAN MARIE BRAUN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1477359057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN MARIE BRAUN

Provider Business Mailing Address
First Line	:	PO BOX 144
Second Line	:
City	:	WAKEFIELD
State	:	NE
Zip	:	68784-0144
Country	:	US
Telephone Number	:	402-860-9187
Fax Number	:

Provider Business Practice Location Address
First Line	:	1203 GRAINLAND RD
Second Line	:
City	:	WAYNE
State	:	NE
Zip	:	68787-1648
Country	:	US
Telephone Number	:	402-992-4345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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Directions to “ JORDAN MARIE BRAUN ” Practice Location

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