Individual
CHRISTINE ANN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN SA-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
577004
CA
163W00000X
Registered Nurse
64691
NV
246ZC0007X
Surgical Assistant
—
—
Other
Enumeration date
12/11/2024
Last updated
01/12/2025
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