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Individual
JORDAN JOHN MADDEN
Active
Individual
JORDAN JOHN MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CNP, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2465330
MN
163W00000X
Registered Nurse
256951-30
WI
363L00000X
Nurse Practitioner
13870-33
WI
363L00000X
Nurse Practitioner
9354
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13870-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9354
MN
Other
Enumeration date
09/02/2019
Last updated
09/08/2025
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