Individual
DR. JENNIFER L JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
800 COLLEGE HWY, SOUTHWICK, MA 01077
(413) 360-8303
(413) 225-8397
Mailing address
800 COLLEGE HWY, SOUTHWICK, MA 01077
(413) 360-8303
(413) 225-8397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2286670
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2286670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891185674
—
MA
Enumeration date
01/30/2015
Last updated
10/08/2024
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