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Individual
KESHIA NICHOLE JORDAN
Active
Individual
KESHIA NICHOLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
APRN.CNP.14076
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.14076-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084490
—
OH
Enumeration date
11/17/2012
Last updated
03/16/2022
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