Individual
MARY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2001 BLOOMINGTON AVENUE S, COMMUNITY-UNIVERSITY HEALTH CARE CENTER, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Mailing address
2001 BLOOMINGTON AVENUE S, COMMUNITY-UNIVERSITY HEALTH CARE CENTER, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R125380-1
MN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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