Jordan, Jeremy Robert

Jordan, Jeremy Robert is an individual health care provider with primary practice located at 3400 Spruce St 6 Silverstein, Philadelphia PA 19104-4206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Jordan, Jeremy Robert can be contacted via phone (215) 615-4949.

Contact Information

Primary practice address
3400 Spruce St 6 Silverstein Philadelphia PA 19104-4206
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP012464 Pennsylvania

Profile Details

NPI number 1902140825
LBN Legal business name Jordan, Jeremy Robert
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 7th, 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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