Jordan, Annaliese M

Jordan, Annaliese M is an individual health care provider with primary practice located at 2121 E Harmony Rd Ste 100, Fort Collins CO 80528-3400. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jordan, Annaliese M can be contacted via phone (970) 221-1000.

Contact Information

Primary practice address
2121 E Harmony Rd Ste 100 Fort Collins CO 80528-3400
Phone: (970) 221-1000
Fax: (970) 297-6860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0990723-NP Colorado
Nursing Service Providers / Registered Nurse 163W00000X RN.0125748 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0990723-NP Colorado

Profile Details

NPI number 1760674246
LBN Legal business name Jordan, Annaliese M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated May 10th, 2016 - about 10 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 1760674246 NPPES
Texas MEDICAID 303146001
Texas MEDICAID 58074228

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