Individual
MRS. TIFFANY NICHOL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2120 S MCCLINTOCK DR, STE 105, TEMPE, AZ 85282-2692
(480) 804-0326
Mailing address
1400 E SOUTHERN AVE, STE 735, TEMPE, AZ 85282-5691
(480) 804-0326
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3218
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393221
—
AZ
Enumeration date
12/17/2008
Last updated
10/23/2015
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