Individual
JORDAN ANN FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2799 N WASHINGTON ST, CHILLICOTHE, MO 64601-2902
(660) 646-1480
Mailing address
901 E 104TH ST # MS 400S, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020023498
MO
Other
Enumeration date
01/09/2020
Last updated
01/21/2022
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