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Individual

JORDAN RICHARD O'BARSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, FNP-C

Contact information

Practice address
1700 W SMITH VALLEY RD STE A2, GREENWOOD, IN 46142-1589
(317) 300-1465
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
(239) 343-9848

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28224636A
IN
363LF0000X
Family Nurse Practitioner
71010715A
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN11024189
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119535500
FL
Enumeration date
11/19/2020
Last updated
05/08/2025
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