Mrs. Lisa Ann Jordan
Feeding, Eating & Swallowing
16910 Frances St Suite 102
Omaha
, Nebraska 68130-2399
Mrs. Lisa Ann Jordan
Feeding, Eating & Swallowing
16910 Frances St Suite 102
Omaha
, Nebraska 68130-2399
(402) 391-0804
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About
Features
Specialties
- Feeding, Eating & Swallowing
Languages spoken
- English
Location
First Address
- Mrs. Lisa Ann Jordan
- 17641 Woolworth Ave
- Omaha, NE
- Zip : 68130-4617
- Phone : (402) 391-0804
Second Address
- Mrs. Lisa Ann Jordan
- 16910 Frances St Suite 102
- Omaha, NE
- Zip : 68130-2399
- Fax : (402) 932-3370
- Phone : (402) 932-3355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225XF0002X | Feeding, Eating & Swallowing | 1292 | NE |
| Y | 225XF0002X | Feeding, Eating & Swallowing | 619 | NE |
National Provider Identifier
| NPI | 1407124159 |
|---|---|
| Provider Name | Mrs. Lisa Ann Jordan |
| First Address | Omaha, NE 68130-4617 |
| Second Address | Omaha, NE 68130-2399 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/12/2011 |
| Last Update Date | 05/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.