Individual
MRS. CAROLYN ANN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
BOSTON MEDICAL CENTER, 801 MASSACHUSETTS AVE, CROSSTOWN BUILDING 6TH FLOOR, BOSTON, MA 02118
(617) 414-5951
(617) 414-9334
Mailing address
BOSTON MEDICAL CENTER, 801 MASSACHUSETTS AVE, CROSSTOWN BUILDING 6TH FLOOR, BOSTON, MA 02118
(617) 414-5951
(617) 414-9334
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN256168
MA
363LW0102X
Women's Health Nurse Practitioner
RN256168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110076848
—
MA
Enumeration date
11/20/2006
Last updated
04/15/2026
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