Individual
MS. JILLIENNE FRANCES JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
(718) 780-3153
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5040
(718) 780-3153
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382517-1
NY
Other
Enumeration date
07/09/2014
Last updated
07/08/2015
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