Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN RICHARD GUSTAFSON, PA-C
ActiveJORDAN RICHARD GUSTAFSON, PA-C is a Physician Assistant healthcare provider located in NEBRASKA CITY, Nebraska. NPI 1033678644 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEBRASKA CITY, NE
Registration Details
- NPI Number
- 1033678644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2019 (7.3816832386488 yrs)
- Last Updated
- Mar 14, 2019
- License
-
2349 (NE)
Practice Information
- Address
-
1301 GRUNDMAN BLVDNEBRASKA CITY, NE, 684103319Browse NE providers · Browse ZIP 68410
- Phone
- 4028733321
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEBRASKA CITY, NE
| Name | Credential | NPI |
|---|---|---|
| HAYLEE M GUSTAFSON | MPAS, PA-C | 1225610421 |
| BRILEY JEAN HAKEL | PA-C | 1477287514 |
| MORGAN THIELE | PA-C | 1508654930 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.