Individual
JORDAN BIXBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3173 43RD ST S, FARGO, ND 58104-4563
(701) 478-8780
Mailing address
3173 43RD ST S, FARGO, ND 58104-4563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95015695
CA
Other
Enumeration date
10/21/2020
Last updated
06/11/2026
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