Individual
MR. JEFFREY PAUL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
36060 EUCLID AVE, STE 107, WILLOUGHBY, OH 44094-4661
(440) 375-8100
Mailing address
36060 EUCLID AVE, STE 107, WILLOUGHBY, OH 44094-4661
(440) 375-8100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.11816-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140667
—
OH
Enumeration date
09/08/2010
Last updated
03/10/2022
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