Provider Demographics
NPI:1801687959
Name:JANDALI, YOUSEF
Entity type:Individual
Prefix:
First Name:YOUSEF
Middle Name:
Last Name:JANDALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2296 HOLDREGE ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-1163
Mailing Address - Country:US
Mailing Address - Phone:402-429-1978
Mailing Address - Fax:
Practice Address - Street 1:2296 HOLDREGE ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-1163
Practice Address - Country:US
Practice Address - Phone:402-429-1978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide