Reese, Jordan James

Reese, Jordan James is an sole proprietor health care provider with primary practice located at 1295 Bay Ridge Dr , Detroit Lakes MN 56501. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Reese, Jordan James can be contacted via phone (218) 289-3107.

Contact Information

Primary practice address
1295 Bay Ridge Dr Detroit Lakes MN 56501
Phone: (218) 289-3107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R2033172 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 41156 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2033172 Minnesota

Profile Details

NPI number 1194215830
LBN Legal business name Reese, Jordan James
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2018
Last updated Apr 29th, 2022 - about 4 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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