Individual
MICHAEL J JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95015046
CA
363LA2100X
Acute Care Nurse Practitioner
209013781
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
95015046
CA
Other
Enumeration date
01/18/2016
Last updated
08/22/2020
Update your record
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