Individual
GABRIELLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20375 W 151ST ST, OLATHE, KS 66061-5306
(913) 355-8262
Mailing address
20375 W 151ST ST, OLATHE, KS 66061-5306
(913) 355-8262
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2018001732
MO
363LF0000X
Family Nurse Practitioner
2022040687
MO
363LF0000X
Family Nurse Practitioner
Primary
53-81795-062
KS
Other
Enumeration date
09/22/2022
Last updated
07/11/2025
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