Individual
EUNICE A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
2300 CHESTER BLVD, RICHMOND, IN 47374-1221
(765) 939-2395
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71007654A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007654A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71007654A
IN
Other
Enumeration date
09/19/2017
Last updated
11/23/2022
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