Individual
JENNIFER M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
14540 PRAIRIE LAKES BLVD N STE 200, NOBLESVILLE, IN 46060-4370
(317) 578-4193
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71001204A
IN
Other
Enumeration date
01/03/2006
Last updated
10/31/2018
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