Individual
JORDAN JEAN CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 305, MILWAUKEE, WI 53215-3660
(414) 649-5646
Mailing address
1880 LILLY RD, ELM GROVE, WI 53122-1211
(563) 419-2969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8667-33
WI
Other
Enumeration date
08/31/2018
Last updated
11/30/2021
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