Individual
MRS. JORDAN MCKEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK STREET, NEW HAVEN, CT 06510
(203) 785-2802
Mailing address
YUSM-DEPT OF ANESTHESIOLOGY, 333 CEDAR STREET-TMP3, NEW HAVEN, CT 06510
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12.012193
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2023
Last updated
08/11/2023
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