Individual
NICOLE ELIZABETH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
83 COLUMBIA ST, ORLANDO, FL 32806-1106
(321) 841-3220
(321) 843-3210
Mailing address
83 COLUMBIA ST, ORLANDO, FL 32806-1106
(321) 841-3220
(321) 843-3210
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9263723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003778400
—
FL
Enumeration date
06/28/2011
Last updated
06/27/2019
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