Jordan, Roberta Marie
Jordan, Roberta Marie is an individual health care provider with primary practice located at 6452 City West Parkway New Kingdom Healthcare, Eden Prairie MN 55344-0010. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jordan, Roberta Marie can be contacted via phone (952) 999-0333.Contact Information
Primary practice address
6452 City West Parkway New Kingdom Healthcare
Eden Prairie MN 55344-0010
Phone: (952) 999-0333
Fax: (952) 300-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71012163A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 8127 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 458 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 4704244874 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71012163A | Indiana |
Profile Details
| NPI number | 1649550492 |
|---|---|
| LBN Legal business name | Jordan, Roberta Marie |
| Credentials | CNM, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2011 |
| Last updated | Nov 6th, 2023 - about 3 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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