Individual
JEROME JORDAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1205 BROADWAY, LORAIN, OH 44052-3409
(769) 610-2804
Mailing address
12303 CEDAR RD APT 135, CLEVELAND HEIGHTS, OH 44106-3174
(769) 610-2804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP.0035744
OH
Other
Enumeration date
02/20/2024
Last updated
04/01/2024
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