Individual
JORDAN HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
(816) 271-6019
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023005095
MO
Other
Enumeration date
02/09/2023
Last updated
03/17/2023
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