Individual
MRS. CANDISE ELAINE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 600, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7843
Mailing address
9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
(239) 785-3200
(813) 630-6105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011003425
MO
363LF0000X
Family Nurse Practitioner
2011003425
MO
Other
Enumeration date
02/15/2011
Last updated
05/29/2020
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