Individual
ROBERTA MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
6452 CITY WEST PARKWAY, NEW KINGDOM HEALTHCARE, EDEN PRAIRIE, MN 55344-0010
(952) 999-0333
(952) 300-2558
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012163A
IN
363LF0000X
Family Nurse Practitioner
71012163A
IN
363LF0000X
Family Nurse Practitioner
8127
MN
367A00000X
Advanced Practice Midwife
458
MN
367A00000X
Advanced Practice Midwife
4704244874
MI
Other
Enumeration date
08/25/2011
Last updated
09/22/2025
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