Knickerbocker, Jordan N

Knickerbocker, Jordan N is an individual health care provider with primary practice located at 3150 N 12Th St , Grand Junction CO 81506-2863. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Knickerbocker, Jordan N can be contacted via phone (970) 254-2642.

Contact Information

Primary practice address
3150 N 12Th St Grand Junction CO 81506-2863
Phone: (970) 254-2642
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X PENDING Colorado

Profile Details

NPI number 1811676786
LBN Legal business name Knickerbocker, Jordan N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2023
Last updated Aug 30th, 2023 - 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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