Individual
JEANA JORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
HYW 281 N, CANDO, ND 58324
(701) 968-2541
(701) 968-2574
Mailing address
PO BOX 688, CANDO, ND 58324-0688
(701) 968-2541
(701) 968-2574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0275
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24119
BCBS PROVIDER #
ND
01
—
24226
BCBS PROVIDER #
ND
05
—
71287
—
ND
05
—
849658700
—
MN
Enumeration date
07/11/2006
Last updated
06/10/2013
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