Individual
JORDAN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4615
(907) 212-3150
Mailing address
PO BOX 233082, ANCHORAGE, AK 99523-3082
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
101015
AK
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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