Individual
JORDAN WAYNE HANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(952) 923-7231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2474936
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
3161
MN
Other
Enumeration date
03/07/2025
Last updated
09/02/2025
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