Individual
MS. NELLA MONICA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
10 JUANITA AVE, HUNTINGTON, NY 11743-5529
(631) 425-5113
Mailing address
10 JUANITA AVE, HUNTINGTON, NY 11743-5529
(631) 425-5113
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
3857421
NY
163WP0200X
Pediatric Registered Nurse
3857421
NY
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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