Individual
MRS. JORDAN H. IDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC, ANCC
Contact information
Practice address
410 MIRACLE MILE, LEBANON, NH 03766-2639
(603) 520-7431
Mailing address
63 EMERALD ST, PMB 130, KEENE, NH 03431
(603) 520-7431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
071684-23
NH
363LF0000X
Family Nurse Practitioner
101.0134678
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071684-23
STATE OF NH BOARD OF NURSING
NH
01
—
101.0134678
STATE OF VT BOARD OF NURSING
VT
Enumeration date
04/17/2020
Last updated
12/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us