Individual
MRS. JENNIFER LYNN JORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP
Contact information
Practice address
4401 CAMPUS RIDGE DR STE 1100, MIDLAND, MI 48640-6125
(989) 837-9200
(989) 837-9205
Mailing address
4000 WELLNESS, CHRISTIE BLDG, MIDLAND, MI 48670-2000
(989) 837-9200
(989) 837-9205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704200854
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500E610400
BCBSM
MI
Enumeration date
12/12/2006
Last updated
02/25/2020
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