Individual
MRS. PEVEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
235 WELLESLEY ST, WESTON, MA 02493-1572
(781) 768-7000
Mailing address
PO BOX 287, BOSTON, MA 02137-0287
(617) 818-7959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2318289
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2318289
MA
Other
Enumeration date
03/11/2024
Last updated
02/19/2026
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