Individual
CHARLOTTE JOANNE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN CRNP
Contact information
Practice address
204 GROVE AVE, SUITE C, WEST DEPTFORD, NJ 08086-2557
(856) 467-2009
Mailing address
PO BOX 67, SUITE 108, BRIDGEPORT, NJ 08014-0067
(856) 467-8550
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07483600
NJ
Other
Enumeration date
05/22/2008
Last updated
04/24/2014
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