Individual
BENJAMIN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-7000
Mailing address
1163 MARY KATE DR, GULF BREEZE, FL 32563-5542
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
125190
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11040988
FL
Other
Enumeration date
05/27/2025
Last updated
01/23/2026
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