Individual
JORDAN WIKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
2036 SADDLEBACK DR, CASTLE ROCK, CO 80104-9493
(909) 528-8585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1631123
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
REGISTERED NURSE
CO
Enumeration date
03/13/2015
Last updated
03/13/2015
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