Individual
AMANDA JO JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMANDA JORDAN CRNA
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3464
Mailing address
10301 HICKMAN MILLS DR, SUITE 100, KANSAS CITY, MO 64137-1674
(816) 767-3210
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004034300
MO
367500000X
Certified Registered Nurse Anesthetist
43556882052
KS
Other
Enumeration date
11/19/2009
Last updated
11/24/2009
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