Individual
CHARISSA MARIE ELY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10 BRAMBLE BUSH DR, FALMOUTH, MA 02540-2325
(508) 540-1801
Mailing address
10 BRAMBLE BUSH DR, FALMOUTH, MA 02540-2325
(774) 392-2906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2318744
MA
Other
Enumeration date
08/11/2025
Last updated
11/25/2025
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