Jordan, Antionette

Jordan, Antionette is an individual health care provider with primary practice located at 4224 Carrollton Dr Apt A , Bridgeton MO 63044-1971. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Jordan, Antionette can be contacted via phone (314) 281-8660.

Contact Information

Primary practice address
4224 Carrollton Dr Apt A Bridgeton MO 63044-1971
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 155336 Missouri

Profile Details

NPI number 1902663982
LBN Legal business name Jordan, Antionette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2024
Last updated Mar 5th, 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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