Individual
KRISTEN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 2ND AVE, NEW YORK, NY 10016-4859
(212) 561-1017
Mailing address
610 2ND AVE, NEW YORK, NY 10016-4859
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431910
NY
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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