Individual
JORDAN E TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 215-2005
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60904961
WA
363LP0200X
Pediatric Nurse Practitioner
NP729A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010153954
REGENCE BLUE SHIELD
ID
01
—
000010153955
REGENCE BLUE SHIELD
ID
05
—
1047507
—
WA
05
—
1144306549
—
MT
05
—
807343600
—
ID
05
—
9653353
—
WA
01
—
AP60904961
ARNP
WA
05
—
NP708ID
—
AK
01
—
NPXN2
BLUE CROSS OF IDAHO
ID
01
—
NPXN3
BLUE CROSS
ID
Enumeration date
10/27/2006
Last updated
03/04/2025
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