Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Udstuen

Individual provider Case Manager/Care Coordinator · NPI 1699667402

Jerry Udstuen is a Case Manager/Care Coordinator in Cincinnati, Ohio. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4540 Cooper Rd Ste 200
Cincinnati, OH 45242-5649
Phone: (513) 618-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1699667402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address4540 Cooper Rd Ste 200, Cincinnati, OH 45242-5649

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