Individual
MICHELL M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
410 LOCKERMAN ST, DENTON, MD 21629-1048
(410) 479-3075
(833) 914-0407
Mailing address
410 LOCKERMAN ST, DENTON, MD 21629-1048
(410) 479-3075
(833) 914-0407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R197956
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009541449
AETNA PPO
—
05
—
049008300
—
MD
01
—
68320014
BCBD FEDERAL
—
01
—
8355618
AETNA HMO
—
01
—
97602401
BCBS MD
—
Enumeration date
10/19/2006
Last updated
06/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us