# MICHELL M JORDAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366524365
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R197956 | MD | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 06/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0009541449 | AETNA PPO | — |
| 05 | — | 049008300 | — | MD |
| 01 | — | 68320014 | BCBD FEDERAL | — |
| 01 | — | 8355618 | AETNA HMO | — |
| 01 | — | 97602401 | BCBS MD | — |