Individual
MR. JORDAN OFFICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
1273 66TH ST, WEST DES MOINES, IA 50266-5769
(515) 473-0805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D185128
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
04/18/2023
Last updated
07/22/2025
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