Individual
JORDANN ELIZABETH DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(260) 705-8781
Mailing address
5516 DRUM RD, INDIANAPOLIS, IN 46216-2049
(260) 705-8781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2823767A
IN
363L00000X
Nurse Practitioner
71015989A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015989A
IN
Other
Enumeration date
09/12/2024
Last updated
12/13/2024
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