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Individual
MRS. LEA ELINA JORDAN
Active
Individual
MRS. LEA ELINA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.373215
OH
363L00000X
Nurse Practitioner
024576
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024576
OH
363LF0000X
Family Nurse Practitioner
F03190398
OH
Other
Enumeration date
08/28/2017
Last updated
03/01/2023
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