Individual
MR. JORDAN THOMAS ALBERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
601 JOHN ST STE M-401, KALAMAZOO, MI 49007-5353
(855) 618-2676
Mailing address
9520 S DIVISION AVE, BYRON CENTER, MI 49315-9309
(616) 915-2182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704295087
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2019
Last updated
04/01/2022
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