Provider Demographics
NPI:1427853001
Name:YORGOVAN, JEAN
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:YORGOVAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 WOLF LN
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-4442
Mailing Address - Country:US
Mailing Address - Phone:402-738-1488
Mailing Address - Fax:
Practice Address - Street 1:909 WOLF LN
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-4442
Practice Address - Country:US
Practice Address - Phone:402-738-1488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker