Individual
JORDAN ROBERT NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3569 RIDGE RD, CLEVELAND, OH 44102-5443
(216) 281-0872
Mailing address
3569 RIDGE RD, CLEVELAND, OH 44102-5443
(216) 281-0872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.478554
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0035730
OH
Other
Enumeration date
11/10/2023
Last updated
01/27/2025
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