# MS. PATRICIA ANN JORDAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1831248384
- **Gender:** F
- **Credential:** L.P.N

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | LP036459 | AZ | Yes |
| 164X00000X | Licensed Vocational Nurse | VN 176064 | CA | — |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 02/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | EPS010880 | — | CA |
| 05 | — | RVN000620 | — | CA |