Individual
JORDAN SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 N HIGHLAND AVE, AURORA, IL 60506-3814
(630) 892-4355
Mailing address
400 N HIGHLAND AVE, AURORA, IL 60506-3814
(630) 978-2532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017719
IL
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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