Mrs Jordan Amber Haake, APRN is a
Nurse Practitioner - Family based in Gothenburg, Nebraska. Mrs Jordan Amber Haake is licensed to practice in Nebraska (license number 115387) and her current practice location is
910 20th St, Gothenburg, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(308) 537-3661.
NPI number for Mrs Jordan Amber Haake is 1104666734 and her current mailing address is 1016 22nd St, Gothenburg, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104666734.
Provider's Profile
Full Name | Mrs Jordan Amber Haake |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 910 20th St, Gothenburg, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104666734
- Provider Enumeration Date: 05/30/2024
- Last Update Date: 06/27/2024
Medical Identifiers
Medical identifiers for Mrs Jordan Amber Haake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104666734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 115387 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jordan Amber Haake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jordan Amber Haake, APRN 1016 22nd St, Gothenburg, NE 69138-2507 Ph: (308) 529-0350 | Mrs Jordan Amber Haake, APRN 910 20th St, Gothenburg, NE 69138-1237 Ph: (308) 537-3661 |
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