Individual
CRYSTAL NICHOLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
5662 TRANQUILITY OAKS DR UNIT 204, TAMPA, FL 33624-5846
(727) 686-1402
Mailing address
5662 TRANQUILITY OAKS DR UNIT 204, TAMPA, FL 33624-5846
(727) 686-1402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005773
FL
363LF0000X
Family Nurse Practitioner
APRN11005773
FL
Other
Enumeration date
01/28/2020
Last updated
09/05/2023
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