Cloud, Jordan

Cloud, Jordan is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cloud, Jordan can be contacted via phone (417) 875-3276.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Phone: (417) 875-3276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1144972167
LBN Legal business name Cloud, Jordan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2022
Last updated Apr 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144972167 NPPES
Missouri MEDICAID 220106115

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