Individual
JORDAN RILEY NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3240 NORTHWEST AVE, BELLINGHAM, WA 98225-1318
(360) 450-5025
Mailing address
3240 NORTHWEST AVE, BELLINGHAM, WA 98225-1318
(360) 450-5025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP1430396
WA
164W00000X
Licensed Practical Nurse
Primary
LP61430396
WA
Other
Enumeration date
04/27/2023
Last updated
09/08/2023
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