Individual
JORDAN E DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N 16TH ST STE 240, NEW CASTLE, IN 47362-4319
(765) 521-1461
(765) 599-3101
Mailing address
PO BOX 485, NEW CASTLE, IN 47362-0485
(765) 521-1516
(765) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
71007886A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007886A
IN
Other
Enumeration date
04/03/2018
Last updated
11/01/2023
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