Individual
MARIAH C JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13156-33
APNP
WI
05
—
1386382174
—
WI
01
—
150007-32
CNM
WI
01
—
229165-30
RN
WI
Enumeration date
05/23/2022
Last updated
02/19/2026
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