Individual
JENNA SUZANNE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
85 SEYMOUR ST STE 416, HARTFORD, CT 06106-5523
(860) 545-5000
Mailing address
131 STERLING CITY RD, LYME, CT 06371-3309
(802) 309-4812
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
005430
CT
Other
Enumeration date
09/25/2013
Last updated
08/29/2020
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