Individual
KRISTA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3931 LOUISIANA AVE S, SUITE E-500, ST LOUIS PARK, MN 55426-4375
(952) 993-5320
Mailing address
13612 PLEASANT LN, BURNSVILLE, MN 55337-4513
(253) 330-6922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
12/04/2013
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