Individual
MRS. CHENAULL VAN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4967 CROOKS RD, SUITE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-0192
Mailing address
4967 CROOKS RD, SUITE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-0192
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704218917
MI
363LF0000X
Family Nurse Practitioner
Primary
4704218917
MI
363LF0000X
Family Nurse Practitioner
AP7702
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704218917
MI
Other
Enumeration date
04/06/2011
Last updated
11/25/2025
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