Individual
DOROTHY LEE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 917-7108
(386) 917-7293
Mailing address
40 BUTTRICK RD, LONDONDERRY, NH 03053-3381
(603) 370-8977
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
063931-23
NH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11042641
FL
363LP2300X
Primary Care Nurse Practitioner
063931-23
NH
Other
Enumeration date
09/07/2019
Last updated
03/24/2026
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