Individual
MICHELLE V JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC/PC
Contact information
Practice address
927 45TH ST, STE 301, WEST PALM BEACH, FL 33407
(561) 227-9240
(561) 842-9570
Mailing address
P O BOX 601888, CHARLOTTE, NC 28260-1888
(704) 403-2662
(704) 403-2670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5005260
NC
363LP0200X
Pediatric Nurse Practitioner
221553
NC
363LP0200X
Pediatric Nurse Practitioner
5005260
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9490043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427338748
—
NC
05
—
NP2803
—
SC
Enumeration date
08/17/2011
Last updated
10/24/2018
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