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Individual
ELIZABETH H. JORDAN
Active
Individual
ELIZABETH H. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN133939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560286001
BC/BS COMM BLUE
NY
Enumeration date
04/08/2006
Last updated
04/20/2013
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