Individual
MARY J JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4700 S TECHNOPOLIS DR STE 2A, SIOUX FALLS, SD 57106-4247
(605) 740-0414
Mailing address
4700 S TECHNOPOLIS DR STE 2A, SIOUX FALLS, SD 57106-4247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A160873
IA
Other
Enumeration date
09/28/2020
Last updated
08/11/2023
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