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Individual

CHARLOTTE ELIZABETH JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4686 POINTES DR STE 219, MUKILTEO, WA 98275-6038
(425) 405-8089
(425) 426-2277
Mailing address
4764 S GOLF COURSE DR, BLAINE, WA 98230-6816
(360) 441-3892

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61151908
WA

Other

Enumeration date
05/10/2021
Last updated
08/15/2022
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