Individual
MICHELLE L JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4101
Mailing address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9233886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000820300
—
FL
05
—
106508800
—
FL
01
—
G4742
BCBS
FL
Enumeration date
02/20/2009
Last updated
02/08/2026
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