Jordan, Michelle V

Jordan, Michelle V is an individual health care provider with primary practice located at 927 45Th St Ste 301, West Palm Beach FL 33407. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Jordan, Michelle V can be contacted via phone (561) 227-9240.

Contact Information

Primary practice address
927 45Th St Ste 301 West Palm Beach FL 33407
Phone: (561) 227-9240
Fax: (561) 842-9570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9490043 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5005260 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 221553 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5005260 North Carolina

Profile Details

NPI number 1427338748
LBN Legal business name Jordan, Michelle V
Credentials CPNP-AC/PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Oct 24th, 2018 - about 7 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 1427338748 NPPES
South Carolina MEDICAID NP2803
South Carolina MEDICAID 1427338748

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