Individual
MS. PATRICIA ANN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
2322 E ROESER RD, PHOENIX, AZ 85040-3405
(480) 216-2199
Mailing address
2322 E ROESER RD, PHOENIX, AZ 85040-3405
(480) 216-2199
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP036459
AZ
164X00000X
Licensed Vocational Nurse
VN 176064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS010880
—
CA
05
—
RVN000620
—
CA
Enumeration date
01/10/2007
Last updated
02/20/2015
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