Jordan, Nancy L

Jordan, Nancy L is an individual health care provider with primary practice located at 2701 Davis St , Meridian MS 39301-5708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jordan, Nancy L can be contacted via phone (601) 693-0118.

Contact Information

Primary practice address
2701 Davis St Meridian MS 39301-5708
Phone: (601) 693-0118
Fax: (601) 553-8175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R857538 Mississippi

Profile Details

NPI number 1659400885
LBN Legal business name Jordan, Nancy L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Nov 7th, 2012 - about 14 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 1659400885 NPPES
Mississippi MEDICAID 03426357
Mississippi Other R857538

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