Individual
JORDAN B TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
2900 12TH AVE N STE 160W, BILLINGS, MT 59101-7508
(406) 237-8500
(406) 237-8501
Mailing address
2900 12TH AVE N STE 160W, BILLINGS, MT 59101-7508
(406) 237-8500
(406) 237-8501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
34680
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34680
LICENSE
MT
Enumeration date
07/13/2010
Last updated
05/05/2014
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