Individual
MRS. ELLEN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(212) 263-3982
Mailing address
1201 WASHINGTON BLVD APT 301, STAMFORD, CT 06902-2459
(516) 330-8483
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431343
NY
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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