Individual
SARA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3728
(508) 334-7284
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
5011161
NC
363L00000X
Nurse Practitioner
Primary
RN2336410
MA
Other
Enumeration date
10/26/2018
Last updated
11/04/2020
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