| Doctor Name: | JAN MARIE AMUNDSON |
| NPI Number: | 1083641674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-C |
| License Number: | 110167 |
| Business Practice Address: | 2201 N. Broadwell Grand Island, NE - 688032196 |
| Business Phone Number: | 3083823660 |
| Business Fax Number: | 3083895184 |
| Mailing Address: | 3629 W Guenther Rd, GRAND ISLAND |
| State: | NE |
| Postal Code: | 688039123 |
| Phone Number: | 3083812555 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 110167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |