Individual
ELIZABETH H. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1260 S CAMPBELL AVE, BUILDING 2, GREEN VALLEY, AZ 85614-0503
(520) 407-5600
(520) 407-5990
Mailing address
1260 S CAMPBELL AVE, BUILDING 2, GREEN VALLEY, AZ 85614-0503
(520) 407-5600
(520) 407-5990
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN133939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560286001
BC/BS COMM BLUE
NY
Enumeration date
04/08/2006
Last updated
04/20/2013
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