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
Phone: (314) 281-8660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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