Individual
MRS. MELISSA A. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4011 TALBOT RD., 5TH FLOOR, RENTON, WA 98055
(425) 251-5100
(425) 271-2561
Mailing address
P.O. BOX 946, ENUMCLAW, WA 98022
(253) 797-4908
(253) 939-4245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60673443
WA
Other
Enumeration date
06/02/2010
Last updated
03/15/2017
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