Most Relevant Information
Provider Data
| NPI Number: | 1003591892 |
| Provider Name: | JELENA GRIFFIN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2023 |
| Last Updated: | 06/19/2023 |
Provider Practice Location
1319 LEAVENWORTH ST
OMAHA
NE
681023215
Practice Location Phone/Fax
| Phone: | 4025523222 |
| Fax: | 4025522172 |
Provider Mailing Location
1319 LEAVENWORTH ST
OMAHA
NE
681023215
Provider Mailing Phone/Fax
| Phone: | 4025523222 |
| Fax: | 4025522172 |