Individual
JORDAN MARRAINE LINDEKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
173 FORT WASHINGTON AVE, NEW YORK, NY 10032-3739
(212) 305-4600
(212) 305-7439
Mailing address
173 FORT WASHINGTON AVE, NEW YORK, NY 10032-3739
(212) 305-4600
(212) 305-7439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
839151
NY
363L00000X
Nurse Practitioner
XXX
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432521
NY
Other
Enumeration date
08/05/2022
Last updated
12/23/2022
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