Individual
MRS. KAREN ELIZABETH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
3555 SOUTH NATIONAL AVENUE, SPRINGFIELD, MO 65807
(417) 875-2520
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3462
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017006975
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017006975
MISSOURI
MO
05
—
420042637
—
MO
Enumeration date
01/30/2007
Last updated
12/27/2018
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