Individual
ANDREW M JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
403 BURKARTH RD, WARRENSBURG, MO 64093-3101
(660) 747-2500
Mailing address
1204 NE COUNTRY LN, LEES SUMMIT, MO 64086-3510
(417) 224-7385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015016595
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2022027982
MO
367500000X
Certified Registered Nurse Anesthetist
43-558166-041
KS
Other
Enumeration date
05/25/2022
Last updated
04/24/2026
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