Individual
JENNIFER LYNNE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2025 P ST, SACRAMENTO, CA 95811-5213
(916) 936-2229
Mailing address
16086 ANNIE DR, GRASS VALLEY, CA 95949-7149
(530) 477-8988
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW236171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW236171
NURSE-MIDWIFE LICENSE
CA
Enumeration date
04/14/2021
Last updated
04/14/2021
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