Individual
JORDAN DOUGLAS SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
1510 E MAIN ST STE 104C, SANTA MARIA, CA 93454-4825
(805) 928-5767
(805) 349-0222
Mailing address
3231 ORCUTT RD APT 3, SANTA MARIA, CA 93455-2396
(325) 668-7031
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95211424
CA
363L00000X
Nurse Practitioner
Primary
95034111
CA
Other
Enumeration date
08/15/2024
Last updated
06/30/2025
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