Individual
JORDAN WENTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
1970 ASHLAND DR, MOUNT PLEASANT, MI 48858-1203
(989) 772-1500
Mailing address
1970 ASHLAND DR, MOUNT PLEASANT, MI 48858-1203
(989) 772-1500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-186169
AL
163W00000X
Registered Nurse
4704432415
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704432415
MI
Other
Enumeration date
11/28/2023
Last updated
03/18/2026
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